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Individual

AMANDA WINCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
904 MLK DR, CENTRALIA, IL 62801
(618) 533-1391
(618) 533-0012
Mailing address
904 MLK DR, CENTRALIA, IL 62801

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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