Individual
AMANDA REZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
695 N PERRYVILLE RD STE 4, ROCKFORD, IL 61107-6225
(779) 368-0060
(815) 977-4892
Mailing address
695 N PERRYVILLE RD STE 4, ROCKFORD, IL 61107-6225
(779) 368-0060
(815) 977-4892
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178-016094
IL
101YP2500X
Professional Counselor
Primary
180014340
IL
Other
Enumeration date
09/14/2021
Last updated
08/31/2023
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