Individual
MRS. ANDREA CANLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 BLANCHARD CIR, WHEATON, IL 60189-2037
(630) 653-2300
Mailing address
7 BLANCHARD CIR, WHEATON, IL 60189-2037
(630) 653-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009451
IL
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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