Individual
AMBER VOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3815 HARRISON AVE, ROCKFORD, IL 61108-7631
(815) 391-1000
(815) 391-5040
Mailing address
1616 VAN WIE AVE, ROCKFORD, IL 61103-3960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178-006184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239647
N.C.C.
—
01
—
28909
C.A.D.C.
—
Enumeration date
01/30/2012
Last updated
01/30/2012
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