Amber J Illum, LPC Valid NPI

Individual provider · Professional Counselor · Suwanee, GA

NPI

1497886378

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LPC004396 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-09

Last updated

2013-01-28