Individual
AMY CREEK-KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
101 CHITTYVILLE RD, HERRIN, IL 62948-3552
(618) 967-0518
Mailing address
101 CHITTYVILLE RD, HERRIN, IL 62948-3552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180010143
IL
Other
Enumeration date
05/16/2019
Last updated
05/16/2024
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