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Individual

AMBER MARIE HEGEWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, CCTP

Contact information

Practice address
3166 N LINCOLN AVE STE 217, CHICAGO, IL 60657-3119
(708) 406-9870
Mailing address
8015 S OGLESBY AVE, CHICAGO, IL 60617-1134
(773) 369-9902

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.015989
IL
101YP2500X
Professional Counselor
Primary
180.016332
IL

Other

Enumeration date
09/23/2020
Last updated
08/23/2024
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