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NPI Code Detail

MEDICARE: AMANDA CUTTING A.T.R., L.C.P.C.

MEDICARE:   AMANDA  CUTTING  A.T.R., L.C.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180.009619IL

General Provider Information

NPI Number : 1457731820
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CUTTING A.T.R., L.C.P.C.
Provider Business Mailing Address
First Line : 1934 N WASHTENAW AVE
Second Line : #316
City : CHICAGO
State : IL
Zip : 60647-4279
Country : US
Telephone Number : 773-495-1844
Fax Number :
Provider Business Practice Location Address
First Line : 1934 N WASHTENAW AVE
Second Line : #316
City : CHICAGO
State : IL
Zip : 60647-4279
Country : US
Telephone Number : 773-495-1844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2015
Last Update Date : 06/01/2015

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Directions to “ AMANDA CUTTING A.T.R., L.C.P.C.” Practice Location

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