IndividualActive
Amanda Bagnall
NPI 1225630858 · Marriage & Family Therapist · Wheaton, IL
Provider details
- NPI number
- 1225630858
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 166.001357 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2100 Manchester Rd Ste 602
Wheaton, IL 60187-4587
Phone: (630) 480-0060
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Manchester Rd Ste 602
Wheaton, IL 60187-4587
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-11
- Certified
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.