Provider Demographics
NPI:1750195277
Name:PAVELA, AMANDA MICHELLE KUNA (LPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MICHELLE KUNA
Last Name:PAVELA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:MICHELLE
Other - Last Name:KUNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 E CHICAGO AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1756
Mailing Address - Country:US
Mailing Address - Phone:630-481-4101
Mailing Address - Fax:
Practice Address - Street 1:1701 E WOODFIELD RD STE 330
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5128
Practice Address - Country:US
Practice Address - Phone:847-592-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.021139101YP2500X
IL1858465101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool