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Amanda Allen
Counselor in Centralia, Illinois
NPI 1538707716

Amanda Allen is a Counselor based in Centralia, IL. Amanda Allen practices in Centralia, IL. The NPI Number for Amanda Allen is 1538707716 and holds a License No. (Illinois).

The current practice location address for Amanda Allen is 904 E Martin Luther King Drive, Centralia, IL and can be reached out via phone at 618-533-1139 and via fax at 618-533-0012.

Location: 904 E Martin Luther King Drive, Centralia, IL, 62801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538707716
Provider Name
Amanda Allen
Credential
Provider Entity Type
Individual
Gender
Female
Address
904 E Martin Luther King Drive, Centralia, IL, 62801
Phone Number
618-533-1139
Fax Number
618-533-0012
Provider Enumeration Date
12/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370915481007 05 IL
institution
Provider Business Practice Location Address Details
Address
904 E Martin Luther King Drive
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1139
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
904 E Martin Luther King Drive
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1139
Fax Number
618-533-0012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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