Individual
MRS. AMY J BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5016 N UNIVERSITY ST STE 106, PEORIA, IL 61614-4763
(309) 444-7340
Mailing address
503 CARDINAL DR, WASHINGTON, IL 61571-3314
(309) 444-7340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.012418
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
08/30/2017
Last updated
08/30/2019
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