Individual
ANDREA ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3590 HOBSON RD STE 401, WOODRIDGE, IL 60517-1492
(847) 306-9843
Mailing address
517 DELLES RD, WHEATON, IL 60187-4833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.014446
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/24/2020
Last updated
09/02/2020
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