| Amanda Breeden Counseling Services Llc | |
|
5901 N Prospect Rd Ste 105 Peoria IL 61614-4358 | |
| (309) 340-1363 | |
| (309) 417-7719 |
| Full Name | Amanda Breeden Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5901 N Prospect Rd Ste 105, Peoria, Illinois |
| Authorized Official Name and Position | Amanda Fay Breeden (THERAPIST/OWNER) |
| Authorized Official Contact | 3093401363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Breeden Counseling Services Llc 5901 N Prospect Rd Ste 105 Peoria IL 61614-4358 Ph: (309) 340-1363 | Amanda Breeden Counseling Services Llc 5901 N Prospect Rd Ste 105 Peoria IL 61614-4358 Ph: (309) 340-1363 |
| NPI Number | 1447871827 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447871827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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