Amanda Benson Counseling, Llc | |
1161 Fortune Blvd Ste 400 Shiloh IL 62269-7385 | |
(618) 830-8146 | |
(618) 206-8476 |
Full Name | Amanda Benson Counseling, Llc |
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Speciality | Counselor - Professional |
Location | 1161 Fortune Blvd Ste 400, Shiloh, Illinois |
Authorized Official Name and Position | Amanda Benson (LCPC) |
Authorized Official Contact | 6188308146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amanda Benson Counseling, Llc 912 Monterey Dr O Fallon IL 62269-2833 Ph: (618) 830-8146 | Amanda Benson Counseling, Llc 1161 Fortune Blvd Ste 400 Shiloh IL 62269-7385 Ph: (618) 830-8146 |
NPI Number | 1083083448 |
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Provider Enumeration Date | 09/16/2015 |
Last Update Date | 09/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083083448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.008106 (Illinois) | Primary |
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