Provider Demographics
NPI:1194337766
Name:LAI WAI KUEN, AMANDA (MA, NCC, LCPC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:LAI WAI KUEN
Suffix:
Gender:F
Credentials:MA, NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 E LAKE COOK RD FL 9
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1862
Mailing Address - Country:US
Mailing Address - Phone:224-801-1779
Mailing Address - Fax:
Practice Address - Street 1:2500 W HIGGINS RD STE 260
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2042
Practice Address - Country:US
Practice Address - Phone:224-801-1779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.016096101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional