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Individual

ANDRES TELLEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2410 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(847) 377-8686
(847) 377-8688
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8686
(847) 377-8688

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/23/2012
Last updated
02/23/2012
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