Individual
MRS. AMANDA DEE MUSFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5290 WILLIAMS DR, ROSCOE, IL 61073-9222
(815) 324-0324
Mailing address
3318 JACKSON ST, ROCKFORD, IL 61107-4729
(815) 621-5565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178015934
IL
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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