Lissuzzo, Andrea Doherty

Lissuzzo, Andrea Doherty is an sole proprietor health care provider with primary practice located at 526 Keystone Ave , River Forest IL 60305-1612. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lissuzzo, Andrea Doherty can be contacted via phone (708) 710-2650.

Contact Information

Primary practice address
526 Keystone Ave River Forest IL 60305-1612
Phone: (708) 710-2650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.007467 Illinois

Profile Details

NPI number 1699375592
LBN Legal business name Lissuzzo, Andrea Doherty
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2020
Last updated Oct 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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