Individual
DYLAN TEDVON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 E LAKE ST STE AND106, BLOOMINGDALE, IL 60108-1287
(815) 295-5470
Mailing address
704 BUTTERFIELD RD APT 103, OAKBROOK TERRACE, IL 60181-4310
(918) 934-6217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/22/2024
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