Individual provider · Type 1 NPI

Amanda Justine Bagnall

Marriage & Family Therapist · Wheaton, IL

NPI number 1225630858 Active

Practice location

2100 Manchester Rd Ste 602
Wheaton, IL 60187-4587

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X166.001357 (IL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1225630858

Amanda Justine Bagnall's National Provider Identifier is 1225630858, issued on Nov 9, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Wheaton, IL. The record was last updated on Nov 11, 2020.