Individual
ANDREA SCAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
3410 W ROOSEVELT RD, CHICAGO, IL 60624-4343
(773) 741-4242
Mailing address
4147 W ARTHINGTON ST, CHICAGO, IL 60624-3572
(773) 615-3916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178016190
IL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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