Individual
ANDREA BURKLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
497 N MAIN ST, GLEN ELLYN, IL 60137-5171
(708) 846-6108
Mailing address
1764 MUSTANG CT, WHEATON, IL 60189-8483
(708) 846-6108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/21/2020
Last updated
12/23/2021
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