Individual
ANDREA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 N VINE ST, NEW LENOX, IL 60451-1643
(815) 320-3749
Mailing address
305 N VINE ST, NEW LENOX, IL 60451-1643
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009032
IL
Other
Enumeration date
04/26/2016
Last updated
04/19/2023
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