Individual provider · Type 1 NPI
Amanda Wait, B.A.
Counselor · Bloomington, IL
NPI number
1992166276
Active
Practice location
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Fax (309) 820-3745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1992166276
Amanda Wait, B.A.'s National Provider Identifier is 1992166276, issued on Mar 14, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 14, 2016.