John H Amendt Jr., M.S.W.
Social Worker, Clinical in Glen Ellyn, IL. Individual provider (NPI-1).
NPI number1801005665
StatusActive
Last updated in NPPESFeb 6, 2012
Details
- NPI
- 1801005665
- Entity type
- Individual (NPI-1)
- Name
- Mr. John H Amendt Jr.
- Credential
- M.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2007
- Last updated
- Feb 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.001914 | IL | Yes |
| 106H00000X | Marriage & Family Therapist | 166.000240 | IL |
Practice location
346 Taft AveSuite 030
Glen Ellyn, IL 60137-6296
Phone 630-690-3170
Mailing address
1937 Brentwood Ln EWheaton, IL 60189-8543
Phone 630-690-3170
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