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Individual

AMANDA SEANIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(312) 566-8782
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(312) 947-2814

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180011292
IL
101YP2500X
Professional Counselor
180011292
IL

Other

Enumeration date
01/07/2020
Last updated
01/29/2025
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