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Amanda Lee Redwine
Mental Health Counselor in Channahon, Illinois
NPI 1366035362

Amanda Lee Redwine is a Mental Health Counselor based in Channahon, IL and is specialized in Mental Health. Amanda Lee Redwine practices in Channahon, IL. The NPI Number for Amanda Lee Redwine is 1366035362 and holds a License No. (Illinois).

The current practice location address for Amanda Lee Redwine is 27241 W Red Wing Ln, Channahon, IL and can be reached out via phone at 862-438-7325.

Location: 27241 W Red Wing Ln, Channahon, IL, 60410-5303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366035362
Provider Name
Amanda Lee Redwine
Credential
Provider Entity Type
Individual
Gender
Female
Address
27241 W Red Wing Ln, Channahon, IL, 60410-5303
Phone Number
862-438-7325
Fax Number
Provider Enumeration Date
02/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27241 W Red Wing Ln
City
Channahon
State
Illinois
Zip
60410-5303
Phone Number
862-438-7325
Fax Number
person
Provider Business Mailing Address Details
Address
27241 W Red Wing Ln
City
Channahon
State
Illinois
Zip
60410-5303
Phone Number
862-438-7325
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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