Individual
MRS. AMBER J ILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3455 LAWRENCEVILLE SUWANEE RD STE A, SUWANEE, GA 30024-6425
(770) 932-2899
(770) 932-2895
Mailing address
3455 LAWRENCEVILLE SUWANEE RD STE A, SUWANEE, GA 30024-6425
(770) 932-2899
(770) 932-2895
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004396
GA
Other
Enumeration date
03/09/2007
Last updated
01/28/2013
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