Amanda Agan

NPI #1417566308 in Lawrenceville, Illinois

Provider Information

NPI Number: 1417566308
Entity Type: Individual
Name: Amanda Agan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 27, 2020
Last Updated: Jul 27, 2020

Practice Location

Address: 11362 COUNTRY CLUB RD
City: Lawrenceville
State: Illinois
ZIP Code: 62439-4325
Phone: (618) 943-3302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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