Individual
AMY HASTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180008353
IL
101YP2500X
Professional Counselor
Primary
180.008353
IL
Other
Enumeration date
09/24/2012
Last updated
11/13/2023
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