Individual
DR. GRACIELA V. ANDRESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1701 S PROSPECT AVE, SUITE 202, CHAMPAIGN, IL 61820-7050
(217) 352-9207
(217) 352-5842
Mailing address
1701 S PROSPECT AVE, SUITE 202, CHAMPAIGN, IL 61820-7050
(217) 352-9207
(217) 352-5842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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