Individual
MRS. DONNA C BREDRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4300 COMMERCE CT STE 300-9, LISLE, IL 60532-3709
(630) 791-7117
Mailing address
4832 WALLBANK AVE, DOWNERS GROVE, IL 60515-3404
(630) 263-7009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180005131
IL
Other
Enumeration date
11/20/2006
Last updated
09/24/2020
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