SearchIllinois101YP2500X

Amanda Davis, LCPC

NPI 1356807846 · on the registry since 2019 · sole proprietor

Practice

Address
5230 6th Street Frontage Rd E
Springfield, IL 62703
Phone
(217) 585-5661
Fax
(217) 585-5651
Clinicians at this address
23

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois