Individual
AMANDA LAUREN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1967 N DAYTON ST, CHICAGO, IL 60614-5030
(312) 714-5168
Mailing address
1236 W WEBSTER AVE # 1, CHICAGO, IL 60614-3140
(312) 714-5168
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001099
IL
Other
Enumeration date
11/21/2016
Last updated
05/13/2019
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