Amy Nolte

Individual provider Active NPI Counselor · Alton, IL

NPI 1851966329 · NPPES record last updated May 26, 2021

Key facts

NPI
1851966329
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
2615 Edwards St
Alton, IL 62002-3915
Phone
(618) 462-2331
Fax
(618) 462-2504
NPI assigned
May 26, 2021
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)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

2615 Edwards St
Alton, IL 62002-3915

Mailing address

902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483

Other names

  • Amy Sheppard Former name

Other providers in Alton, IL

All providers in Alton, IL · Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.