person
Amanda Michele Bolte, CADC
Addiction (Substance Use Disorder) Counselor in Macomb, Illinois
NPI 1457625592

Amanda Michele Bolte is an Addiction (Substance Use Disorder) Counselor based in Galesburg, IL and is specialized in Addiction (Substance Use Disorder). Amanda Michele Bolte practices in Macomb, IL and has the professional credentials of CADC. The NPI Number for Amanda Michele Bolte is 1457625592 and holds a License No. 29487 (Illinois).

The current practice location address for Amanda Michele Bolte is 900 S Deer Rd, Macomb, IL and can be reached out via phone at 309-837-4876 and via fax at 309-833-1531. You can also correspond with Amanda Michele Bolte through the mailing address at 2323 WINDISH DR, GALESBURG, IL - 61401-9780 (mailing address contact number: 309-344-2323).

Location: 900 S Deer Rd, Macomb, IL, 61401-9780
person
Provider Profile Details
NPI Number
1457625592
Provider Name
Amanda Michele Bolte
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
900 S Deer Rd, Macomb, IL, 61401-9780
Phone Number
309-837-4876
Fax Number
309-833-1531
Provider Enumeration Date
03/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 S Deer Rd
City
State
Zip
61455-2639
Phone Number
309-837-4876
Fax Number
309-833-1531
person
Provider Business Mailing Address Details
Address
2323 Windish Dr
City
State
Zip
61401-9780
Phone Number
309-344-2323
Fax Number
309-344-4368
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
29487 (Illinois)
Definition
Definition to come...
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