Individual
AMY P HEMENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
9273 COACH STOP RD, COLUMBIA, IL 62236-3429
(618) 910-1937
Mailing address
9273 COACH STOP RD, COLUMBIA, IL 62236-3429
(618) 910-1937
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.001167
IL
Other
Enumeration date
09/14/2013
Last updated
08/22/2015
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