Individual
AMANDA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3806 W IRVING PARK RD # STORE, CHICAGO, IL 60618-3139
(773) 850-9046
Mailing address
3806 W IRVING PARK RD # STORE, CHICAGO, IL 60618-3139
(773) 850-9046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009317
IL
Other
Enumeration date
11/04/2014
Last updated
07/19/2016
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