Individual
ALEXANDRA BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1643 W TOUHY AVE APT 2N, CHICAGO, IL 60626-2554
(262) 391-6168
Mailing address
1643 W TOUHY AVE APT 2N, CHICAGO, IL 60626-2554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178019464
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/06/2018
Last updated
06/21/2024
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