Organization
AMY WILEY MA LCPC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WILEY LCPC (MENTAL HEALTH COUNSELOR)
(815) 939-4806
Entity
Organization
Contact information
Practice address
750 ALMAR PKWY, SUITE 205, BOURBONNAIS, IL 60914-2315
(815) 939-4806
Mailing address
750 ALMAR PKWY, SUITE 205, BOURBONNAIS, IL 60914-2315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007352
IL
Other
Enumeration date
06/20/2016
Last updated
10/27/2016
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