Individual
MRS. AMY KRISTINE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
213 W FAYETTE AVE, EFFINGHAM, IL 62401-2405
(618) 387-1114
Mailing address
8215 E 1950TH AVE, JEWETT, IL 62436-2047
(217) 821-6405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002816
IL
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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