Amanda Carlson, MS, LPC, NCC
NPI #1497496053 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1497496053
- Entity Type
- Individual
- Name
- Amanda Carlson, MS, LPC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MS, LPC, NCC
- Enumeration Date
- Apr 6, 2022
- Last Updated
- Apr 6, 2022
Practice Location
- Address
- 36951 N FAIRFIELD RD
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-6406
- Phone
- (224) 829-9464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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