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Amanda Agan
Mental Health Counselor in Lawrenceville, Illinois
NPI 1417566308

Amanda Agan is a Mental Health Counselor based in Lawrenceville, IL and is specialized in Mental Health. Amanda Agan practices in Lawrenceville, IL. The NPI Number for Amanda Agan is 1417566308 and holds a License No. (Illinois).

The current practice location address for Amanda Agan is 11362 Country Club Rd, Lawrenceville, IL and can be reached out via phone at 618-943-3302.

Location: 11362 Country Club Rd, Lawrenceville, IL, 62439-4325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417566308
Provider Name
Amanda Agan
Credential
Provider Entity Type
Individual
Gender
Female
Address
11362 Country Club Rd, Lawrenceville, IL, 62439-4325
Phone Number
618-943-3302
Fax Number
Provider Enumeration Date
07/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11362 Country Club Rd
City
Lawrenceville
State
Illinois
Zip
62439-4325
Phone Number
618-943-3302
Fax Number
person
Provider Business Mailing Address Details
Address
11362 Country Club Rd
City
Lawrenceville
State
Illinois
Zip
62439-4325
Phone Number
618-943-3302
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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