Most Relevant Information
Provider Data
| NPI Number: | 1003531443 |
| Provider Name: | ANDREA J BURRUSS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180.010196 |
Most Important Dates
| Enumeration Date: | 10/07/2022 |
| Last Updated: | 10/07/2022 |
Provider Practice Location
405 CENTRAL AVE
NORTHFIELD
IL
600933006
Practice Location Phone/Fax
| Phone: | 8474415600 |
| Fax: |
Provider Mailing Location
405 CENTRAL AVE
NORTHFIELD
IL
600933006
Provider Mailing Phone/Fax
| Phone: | 8474415600 |
| Fax: |