Individual
AMANDA ELAINE VANLANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11447 2ND ST, ROSCOE, IL 61073-9522
(815) 601-4673
Mailing address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 871-0113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149026538
IL
1041C0700X
Clinical Social Worker
Primary
149026538
IL
Other
Enumeration date
06/10/2021
Last updated
09/19/2025
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