Organization
AMANDA BREEDEN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FAY BREEDEN LCPC (THERAPIST/OWNER)
(309) 340-1363
Entity
Organization
Contact information
Practice address
5901 N PROSPECT RD STE 105, PEORIA, IL 61614-4358
(309) 340-1363
(309) 417-7719
Mailing address
5901 N PROSPECT RD STE 105, PEORIA, IL 61614-4358
(309) 340-1363
(309) 417-7719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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