Individual
MS. ANDREA LYNN SHRYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(800) 773-1682
Mailing address
200 HAWKEYE WAY, SPRINGFIELD, IL 62707-5722
(217) 415-2140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178-003130
IL
101YP2500X
Professional Counselor
Primary
180-006626
IL
101YS0200X
School Counselor
228311
IL
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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