Individual provider · Type 1 NPI

Amanda Agan

Mental Health Counselor · Lawrenceville, IL

NPI number 1417566308 Active

Practice location

11362 Country Club Rd
Lawrenceville, IL 62439-4325

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417566308

Amanda Agan's National Provider Identifier is 1417566308, issued on Jul 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, IL. The record was last updated on Jul 27, 2020.