Individual
ADA ANDRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
240 S 5TH AVE, ST CHARLES, IL 60174-2905
(630) 303-1987
Mailing address
688 BRYN MAWR AVE, BARTLETT, IL 60103-5835
(630) 303-1987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006841
IL
Other
Enumeration date
12/27/2011
Last updated
04/19/2013
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