Individual
ANDREANA BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3590 HOBSON RD STE 401, WOODRIDGE, IL 60517-1492
(630) 968-0792
Mailing address
5841 S MULLIGAN AVE, CHICAGO, IL 60638-3430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009650
IL
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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