Individual
MRS. BRANDI SUZANNE NORTHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
822 N 129TH INFANTRY DR, SUITE 103, JOLIET, IL 60435-3105
(815) 823-8460
(815) 823-8460
Mailing address
822 N 129TH INFANTRY DR, SUITE 103, JOLIET, IL 60435-3105
(815) 823-8460
(815) 823-8460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.011327
IL
Other
Enumeration date
01/10/2007
Last updated
09/26/2011
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