Individual provider · Type 1 NPI

Andilyn Burgess

Mental Health Counselor · Alton, IL

NPI number 1992105480 Active · reactivated Feb 22, 2021

Practice location

2615 Edwards St
Alton, IL 62002-3915

Fax (618) 462-2504

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.009282 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1992105480

Andilyn Burgess's National Provider Identifier is 1992105480, issued on Sep 3, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Alton, IL. The record was last updated on Feb 22, 2021.