Amanda Brooke Easton, Clinical Professional Counseling, LLC

NPI #1013310945 in Chicago, Illinois

Provider Information

NPI Number: 1013310945
Entity Type: Organization
Organization Name: Amanda Brooke Easton, Clinical Professional Counseling, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 7, 2014
Last Updated: Oct 7, 2014

Practice Location

Address: 3105 S DEARBORN ST
Address 2: PSYCHOLOGY DEPARTMENT
City: Chicago
State: Illinois
ZIP Code: 60616-2852
Phone: (312) 622-8617

Authorized Official

Name: AMANDA EASTON, MS, CRC, LCPC
Title: PRACTICE OWNER AND MANAGER
Phone: (312) 622-8617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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