Individual
DREW J TOLLEFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, MHP
Contact information
Practice address
502 N MARKET ST, CHAMPAIGN, IL 61820-3634
(217) 373-2430
Mailing address
1022 E KERR AVE, 108, URBANA, IL 61802-9119
(502) 475-7752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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