Individual
MISS AMANDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2523 S TRUMBULL AVE, CHICAGO, IL 60623-3931
(708) 289-8174
Mailing address
2523 S TRUMBULL AVE, CHICAGO, IL 60623-3931
(708) 289-8174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013561
IL
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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