Individual
AMANDA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
36951 N FAIRFIELD RD, LAKE VILLA, IL 60046-6406
(224) 829-9464
Mailing address
36951 N FAIRFIELD RD, LAKE VILLA, IL 60046-6406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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