Individual provider · Type 1 NPI

Andrea Lynn Shryock, L.C.P.C.

Professional Counselor · Washington, IL

NPI number 1194152769 Active

Practice location

128 Washington Sq
Washington, IL 61571-2657

Mailing address

200 Hawkeye Way
Springfield, IL 62707-5722

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180-006626 (IL)
Professional Counselor 101YP2500X178-003130 (IL)
School Counselor 101YS0200X228311 (IL)

Professional Counselor: Definition to come...

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About NPI 1194152769

Andrea Lynn Shryock, L.C.P.C.'s National Provider Identifier is 1194152769, issued on Sep 27, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Washington, IL. The record was last updated on Sep 27, 2013.