Individual
MS. AMY HOUGHTON BASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149003856
IL
1041C0700X
Clinical Social Worker
Primary
149003856
IL
Other
Enumeration date
02/28/2008
Last updated
08/15/2022
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