| Amanda Brooke Easton, Clinical Professional Counseling, Llc | |
|
3105 S Dearborn St Psychology Department Chicago IL 60616-2852 | |
| (312) 622-8617 | |
| Not Available |
| Full Name | Amanda Brooke Easton, Clinical Professional Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3105 S Dearborn St, Chicago, Illinois |
| Authorized Official Name and Position | Amanda Easton (PRACTICE OWNER AND MANAGER) |
| Authorized Official Contact | 3126228617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Brooke Easton, Clinical Professional Counseling, Llc 1727 S Indiana Ave Unit 324 Chicago IL 60616-1390 Ph: (312) 622-8617 | Amanda Brooke Easton, Clinical Professional Counseling, Llc 3105 S Dearborn St Psychology Department Chicago IL 60616-2852 Ph: (312) 622-8617 |
| NPI Number | 1013310945 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013310945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180008978 (Illinois) | Primary |
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