Illum, Amber J
Illum, Amber J is an individual health care provider with primary practice located at 3455 Lawrenceville Suwanee Rd Ste A , Suwanee GA 30024-6425. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Illum, Amber J can be contacted via phone (770) 932-2899.Contact Information
Primary practice address
3455 Lawrenceville Suwanee Rd Ste A
Suwanee GA 30024-6425
Phone: (770) 932-2899
Fax: (770) 932-2895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC004396 | Georgia |
Profile Details
| NPI number | 1497886378 |
|---|---|
| LBN Legal business name | Illum, Amber J |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jan 28th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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