Fedder, Amanda

Fedder, Amanda is an individual health care provider with primary practice located at 121 W State St , Charleston IL 61920-1359. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fedder, Amanda can be contacted via phone (217) 345-4642.

Contact Information

Primary practice address
121 W State St Charleston IL 61920-1359
Phone: (217) 345-4642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.020272 Illinois

Profile Details

NPI number 1366286890
LBN Legal business name Fedder, Amanda
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2024
Last updated Jun 20th, 2024 - about 2 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.

Request for update

Popular Providers