| Doctor Name: | AMANDA KARLEN |
| NPI Number: | 1083992861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LCPC |
| License Number: | 180.007895 |
| Business Practice Address: | 618 S Il Route 31 Suite 2 Mchenry, IL - 600508273 |
| Business Phone Number: | 8476364070 |
| Business Fax Number: | |
| Mailing Address: | 3614 Sagebrush Ct, JOHNSBURG |
| State: | IL |
| Postal Code: | 600515186 |
| Phone Number: | 8476364070 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2011 |
| NPI Last Update Date: | 07/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.007895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |