Individual provider · Type 1 NPI
Amy Bazelon, LCPC
Professional Counselor · Highland Park, IL
NPI number
1578991972
Active
Practice location
839 Moseley Rd
Highland Park, IL 60035-4635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.010546 (IL) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1578991972
Amy Bazelon, LCPC's National Provider Identifier is 1578991972, issued on Oct 22, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Highland Park, IL. The record was last updated on Oct 27, 2021.