Individual
BRANDON L UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11 S CAPITOL ST, PEKIN, IL 61554-4106
(309) 346-7800
Mailing address
3204 EAGLE WAY, CHICAGO, IL 60678-1032
(630) 717-2258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
180.007015
IL
101YP2500X
Professional Counselor
Primary
180007015
IL
Other
Enumeration date
04/25/2018
Last updated
01/24/2024
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