Individual
AMY A NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
161 NORTHFIELD RD, NORTHFIELD, IL 60093-3309
(847) 784-6094
(847) 784-6088
Mailing address
161 NORTHFIELD RD, NORTHFIELD, IL 60093-3309
(847) 784-6094
(847) 784-6088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178008409
IL
171M00000X
Case Manager/Care Coordinator
178008409
IL
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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