Organization
EAST AURORA COUNSELING LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA ALLER GOLDMAN LCPC (OWNER)
(630) 486-3800
Entity
Organization
Contact information
Practice address
2755 CHURCH RD, AURORA, IL 60502-9745
(630) 486-3800
Mailing address
2755 CHURCH RD, AURORA, IL 60502-9745
(630) 486-3800
(630) 486-3800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205352192
CAQH
IL
05
—
312961335001
—
IL
Enumeration date
11/03/2017
Last updated
12/27/2024
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