Individual
AMANDA BROOKE WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2011 N KNOXVILLE AVE, PEORIA, IL 61603-2414
(309) 687-7952
Mailing address
2011 N KNOXVILLE AVE, PEORIA, IL 61603-2414
(309) 687-7952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
10/22/2013
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