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AMANDA JUSTINE BAGNALL NPI 1225630858


NPI Information

NPI: 1225630858
Provider Name: AMANDA JUSTINE BAGNALL
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
2100 MANCHESTER RD STE 602
WHEATON, IL
ZIP 60187
Phone: (630) 480-0060
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Amanda Justine Bagnall is a marriage family therapist in Wheaton, IL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Amanda Justine Bagnall NPI is 1225630858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 MANCHESTER RD STE 602
WHEATON, IL
ZIP 60187-587
Phone: (630) 480-0060

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist166.001357ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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