Individual provider · Type 1 NPI
Amanda Carlson, MS, LPC, NCC
Professional Counselor · Lake Villa, IL
NPI number
1497496053
Active
Practice location
36951 N Fairfield Rd
Lake Villa, IL 60046-6406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1497496053
Amanda Carlson, MS, LPC, NCC's National Provider Identifier is 1497496053, issued on Apr 6, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Villa, IL. The record was last updated on Apr 6, 2022.