Agave Studio, LLC
NPI #1023427861 in Chicago, Illinois
Provider Information
- NPI Number
- 1023427861
- Entity Type
- Organization
- Organization Name
- Agave Studio, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 6, 2014
- Last Updated
- Aug 12, 2014
Practice Location
Authorized Official
- Name
- MRS. AMANDA G BULL, MA, LCPC
- Title
- BILLING DIRECTOR, STAFF THERAPIST
- Phone
- (618) 444-8801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Counselor - Professional — Professional |
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