Individual
AMY WEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
155 N MICHIGAN AVE STE 622, CHICAGO, IL 60601-7593
(312) 912-3978
Mailing address
1312 N BELL AVE APT 2F, CHICAGO, IL 60622-3064
(920) 277-7837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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