Individual
AMANDA NOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 BEAUREGARD DR, SHILOH, IL 62221-1506
(202) 557-8932
Mailing address
300 W MAIN ST STE 5, BELLEVILLE, IL 62220-1542
(202) 557-8932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178017984
IL
Other
Enumeration date
05/14/2022
Last updated
03/20/2023
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