John H Amendt, M.S.W. Valid NPI

Individual provider · Clinical Social Worker · Glen Ellyn, IL

NPI

1801005665

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

149.001914 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-21

Last updated

2012-02-06