Individual provider · Type 1 NPI

Amanda P. Gold

Mental Health Counselor · Champaign, IL

NPI number 1134849458 Active

Practice location

411 E Park St Ste 106
Champaign, IL 61820-3862

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134849458

Amanda P. Gold's National Provider Identifier is 1134849458, issued on Aug 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Aug 29, 2022.