Individual
MRS. AMANDA LEE LATIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.C.P.C.
Contact information
Practice address
219 MCKINLEY AVE, EDWARDSVILLE, IL 62025-2343
(618) 581-0356
Mailing address
219 MCKINLEY AVE, EDWARDSVILLE, IL 62025-2343
(618) 581-0356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007904
IL
Other
Enumeration date
08/10/2011
Last updated
04/20/2026
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