MRS. Amber J Illum, LPC

NPI #1497886378 in Suwanee, Georgia

Provider Information

NPI Number: 1497886378
Entity Type: Individual
Name: MRS. Amber J Illum, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 9, 2007
Last Updated: Jan 28, 2013

Practice Location

Address: 3455 LAWRENCEVILLE SUWANEE RD STE A
City: Suwanee
State: Georgia
ZIP Code: 30024-6425
Phone: (770) 932-2899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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