Amy L Hansen, L.C.P.C.
NPI #1043588874 in West Peoria, Illinois
Provider Information
- NPI Number
- 1043588874
- Entity Type
- Individual
- Name
- Amy L Hansen, L.C.P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- L.C.P.C.
- Enumeration Date
- Dec 7, 2011
- Last Updated
- Dec 7, 2011
Practice Location
- Address
- 2900 W HEADING AVE
- City
- West Peoria
- State
- Illinois
- ZIP Code
- 61604-4868
- Phone
- (309) 636-7601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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