Individual provider · Type 1 NPI

Andrew R. Wall, LCPC

Professional Counselor · Chicago, IL

NPI number 1376899799 Active

Practice location

1623 N Western Ave
Chicago, IL 60647-5321

Call (773) 551-7204 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X180008228 (IL)
Addiction (Substance Use Disorder) Counselor 101YA0400X180008228 (IL)
Mental Health Counselor 101YM0800X180008228 (IL)
Professional Counselor Primary 101YP2500X180008228 (IL)

Professional Counselor: Definition to come...

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About NPI 1376899799

Andrew R. Wall, LCPC's National Provider Identifier is 1376899799, issued on Aug 3, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Oct 21, 2026.