Carlson, Amanda

Carlson, Amanda is an sole proprietor health care provider with primary practice located at 36951 N Fairfield Rd , Lake Villa IL 60046-6406. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carlson, Amanda can be contacted via phone (224) 829-9464.

Contact Information

Primary practice address
36951 N Fairfield Rd Lake Villa IL 60046-6406
Phone: (224) 829-9464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1497496053
LBN Legal business name Carlson, Amanda
Credentials MS, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2022
Last updated Apr 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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