Individual
MS. AMY LYNN MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
108 NORTHPORT DR, ALTON, IL 62002-5904
(618) 466-0295
(618) 551-2676
Mailing address
PO BOX 786, GODFREY, IL 62035-0786
(618) 567-8650
(618) 551-2676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180010630
IL
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180010630
STATE LICENSE - LCPC
IL
Enumeration date
12/13/2016
Last updated
11/11/2025
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