Individual
AMBER BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1500 EISENHOWER LN STE 900, LISLE, IL 60532-2135
(630) 428-7890
Mailing address
11234 S LECLAIRE AVE, ALSIP, IL 60803-6067
(773) 358-0527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.015159
IL
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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