Amanda Ellis, LCPC
NPI #1215455472 in Carterville, Illinois
Provider Information
- NPI Number
- 1215455472
- Entity Type
- Individual
- Name
- Amanda Ellis, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Sep 7, 2017
- Last Updated
- Feb 20, 2025
Practice Location
- Address
- 1006 S DIVISION ST
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-1539
- Phone
- (618) 519-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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