Amanda Justine Bagnall
Amanda Justine Bagnall is a Marriage & Family Therapist in Wheaton, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
2100 Manchester Rd Ste 602Wheaton, IL 60187-4587
Phone: (630) 480-0060
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 166.001357 (IL) |
|---|
Record details
| NPI number | 1225630858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 9, 2020 |
| Last updated in NPPES | November 11, 2020 |
| Certification date | November 11, 2020 |
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