Individual
AMY BOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 W HARRIS AVE STE 17, LA GRANGE, IL 60525-2368
(779) 429-6513
Mailing address
15 W HARRIS AVE STE 17, LA GRANGE, IL 60525-2368
(779) 429-6513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
04/01/2026
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