Individual
MS. AMANDA MARIE MODELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1137 MCHENRY RD, BUFFALO GROVE, IL 60089-1377
(847) 807-8777
Mailing address
202 WICKER DR, DEER PARK, IL 60010-3723
(847) 997-2484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.019417
IL
Other
Enumeration date
10/11/2023
Last updated
10/12/2023
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