Amanda Wait, B.A.

NPI #1992166276 in Bloomington, Illinois

Provider Information

NPI Number: 1992166276
Entity Type: Individual
Name: Amanda Wait, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: B.A.
Enumeration Date: Mar 14, 2016
Last Updated: Mar 14, 2016

Practice Location

Address: 1003 MARTIN LUTHER KING DR
City: Bloomington
State: Illinois
ZIP Code: 61701-1429
Phone: (309) 820-3651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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