Amanda Briick
Individual provider Active NPI Professional Counselor · Matteson, IL
NPI 1366901290 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1366901290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 4747 Lincoln Mall Dr
Matteson, IL 60443-3811 - Phone
- (708) 747-2655
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
4747 Lincoln Mall Dr
Matteson, IL 60443-3811
Mailing address
4747 Lincoln Mall Dr
Matteson, IL 60443-3811
Phone (708) 747-2655
Other providers in Matteson, IL
- Dyann K Bockstahler
- Paula Bost
- Sherri Bracken
- Rossley Bradley
- Sarah Marie Brandt
- Ashley Broadnax
- Janna F Brockman
- Natasha Brown Harris
- Marcene P Brown
- Katelyn Bruni
All providers in Matteson, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.