Most Relevant Information
Provider Data
| NPI Number: | 1003463589 |
| Provider Name: | AMANDA MCKEATON LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 4335 |
Most Important Dates
| Enumeration Date: | 08/20/2019 |
| Last Updated: | 07/18/2022 |
Provider Practice Location
722 LOIS DR
SUN PRAIRIE
WI
535901100
Practice Location Phone/Fax
| Phone: | 6087555260 |
| Fax: |
Provider Mailing Location
17 S RIVER ST STE 254
JANESVILLE
WI
535483863
Provider Mailing Phone/Fax
| Phone: | 6087555260 |
| Fax: |