Individual provider · Type 1 NPI

Amanda Thompson

Mental Health Counselor · Chicago, IL

NPI number 1689002339 Active

Practice location

641 W 63rd St
Chicago, IL 60621-2032

Call (312) 747-7496 Map

Fax (312) 747-3674

Mailing address

333 S State St
Chicago, IL 60604-3900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101YP2500X (IL)

Mental Health Counselor: Definition to come...

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About NPI 1689002339

Amanda Thompson's National Provider Identifier is 1689002339, issued on Oct 16, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 16, 2013.