Individual
AMANDA BREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5901 N PROSPECT RD STE 105, PEORIA, IL 61614-4358
(309) 340-1363
Mailing address
5901 N PROSPECT RD STE 105, PEORIA, IL 61614-4358
(309) 340-1363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007975
IL
Other
Enumeration date
05/21/2015
Last updated
04/24/2020
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