Individual
AMANDA LYNNE MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4805C BROADWAY ST, MOUNT VERNON, IL 62864-6702
(224) 283-6153
Mailing address
231 W ALLMON ST, SALEM, IL 62881-1204
(618) 472-4452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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