Individual
AMY JO BUWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC, CODP II
Contact information
Practice address
640 N RIVER RD STE 108, NAPERVILLE, IL 60563-8947
(630) 276-7274
Mailing address
64O N. RIVER ROAD, SUITE 108, NAPERVILLE, IL 60563
(630) 276-7274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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