Individual
AMANDA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2960 CHARTRES ST, LA SALLE, IL 61301-1031
(815) 224-1610
Mailing address
2960 CHARTRES ST, LA SALLE, IL 61301-1031
(815) 224-1610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012685
IL
Other
Enumeration date
07/21/2020
Last updated
07/28/2020
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