Individual
MS. AMANDA MARIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, NCC
Contact information
Practice address
500 WATERS EDGE STE 100, LOMBARD, IL 60148-7002
(973) 975-2059
Mailing address
36 EAST JACKSON STREET, VILLA PARK, IL 60181-3249
(630) 832-2639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.014604
IL
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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