Andrea Gundersen LCPC

NPI 1730479312 - Counselor - 101YP2500X

NPI Details
NPI 1730479312
Gender Female
Enumeration Date 04/15/2011
Last Updated 04/15/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4753 N BROADWAY ST
SUITE 510
CHICAGO IL, 60640-5266, US
Phone (847) 902-0454
Fax
Business Location
7064 N GREENVIEW AVE
CHICAGO IL, 60626-2830, US
Phone (847) 902-0454
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180.007804
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According to our database, Ms. Andrea Gundersen LCPC NPI is 1730479312, taxonomy code is 101YP2500X and license number is 180.007804, license state is located at Illinois. Andrea Gundersen LCPC physically located at 4753 N Broadway St, Chicago IL, 60640-5266. NPI Number Andrea Gundersen LCPC has the Individual type.

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1730479312 NPI number is provided on an as is basis without warranty of any kind. 1730479312 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Gundersen LCPC are for informational purposes only.