Individual
AMANDA WITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(260) 355-7043
(312) 841-8866
Mailing address
4507 N RAVENSWOOD AVE STE 111, CHICAGO, IL 60640-5218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.017229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.017229
ILLINOIS LICENSING BOARD
IL
Enumeration date
03/09/2022
Last updated
10/13/2022
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