Individual provider · Type 1 NPI

Amber J. Illum, LPC

Professional Counselor · Suwanee, GA

NPI number 1497886378 Active

Practice location

3455 Lawrenceville Suwanee Rd Ste A
Suwanee, GA 30024-6425

Fax (770) 932-2895

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC004396 (GA)

Professional Counselor: Definition to come...

7 other providers at this address

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About NPI 1497886378

Amber J. Illum, LPC's National Provider Identifier is 1497886378, issued on Mar 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Suwanee, GA. The record was last updated on Jan 28, 2013.