Organization
AMANDA ATKINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA JO ATKINS LMFT (OWNER/THERAPIST)
(312) 401-6574
Entity
Organization
Contact information
Practice address
4050 N LINCOLN AVE, CHICAGO, IL 60618-3067
(312) 401-6574
Mailing address
4503 N WESTERN AVE, CHICAGO, IL 60625-2116
(312) 401-6574
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000968
IL
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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