Pitcock, Amanda Rene

Pitcock, Amanda Rene is an individual health care provider with primary practice located at 2025 Washington St , Waukegan IL 60085-5131. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pitcock, Amanda Rene can be contacted via phone (847) 360-1020.

Contact Information

Primary practice address
2025 Washington St Waukegan IL 60085-5131
Phone: (847) 360-1020
Fax: (847) 360-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1528331915
LBN Legal business name Pitcock, Amanda Rene
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2012
Last updated Feb 15th, 2012 - about 12 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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