Individual
AMANDA CORYELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 534-5712
Mailing address
4110 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 534-5712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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