Individual
AMANDA MARIE DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
981 WHITECHAPEL DR, O FALLON, IL 62269-7270
(618) 700-0078
Mailing address
981 WHITECHAPEL DR, O FALLON, IL 62269-7270
(618) 700-0078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012816
IL
101YS0200X
School Counselor
2389769
IL
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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