Individual provider · Type 1 NPI
Amanda Benson, M.A., LCPC
Professional Counselor · Shiloh, IL
NPI number
1467838151
Active
Practice location
1161 Fortune Blvd, Suite 400
Shiloh, IL 62269-7385
Fax (618) 206-8476
Mailing address
912 Monterey Dr
O Fallon, IL 62269-2833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.008106 (IL) |
| Professional Counselor | 101YP2500X | 2009032848 (MO) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1467838151
Amanda Benson, M.A., LCPC's National Provider Identifier is 1467838151, issued on Aug 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shiloh, IL. The record was last updated on Aug 4, 2015.