Individual
ANDREA KUEBBELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1431 N WESTERN AVE, SUITE 406, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5485
Mailing address
1431 N WESTERN AVE, SUITE 401, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006464
IL
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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