Individual
ANDREA ROSE LAMPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 W LELAND AVE, CHICAGO, IL 60640-7043
(773) 334-7117
(773) 033-4072
Mailing address
3500 S LAKE PARK AVE, CHICAGO, IL 60653-1460
(773) 573-7501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19938
IL
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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