Ms. Andrea Lynn Shryock
School Counselor Professional Counselor
128 Washington Sq
Washington
, Illinois 61571-2657
Ms. Andrea Lynn Shryock
School Counselor Professional Counselor
128 Washington Sq
Washington
, Illinois 61571-2657
(217) 415-2140
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About
Features
Specialties
- Professional Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Ms. Andrea Lynn Shryock
- 200 Hawkeye Way
- Springfield, IL
- Zip : 62707-5722
- Phone : (217) 415-2140
Second Address
- Ms. Andrea Lynn Shryock
- 128 Washington Sq
- Washington, IL
- Zip : 61571-2657
- Phone : (800) 773-1682
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YP2500X | Professional Counselor | 178-003130 | IL |
| Y | 101YP2500X | Professional Counselor | 180-006626 | IL |
| N | 101YS0200X | School Counselor | 228311 | IL |
National Provider Identifier
| NPI | 1194152769 |
|---|---|
| Provider Name | Ms. Andrea Lynn Shryock |
| First Address | Springfield, IL 62707-5722 |
| Second Address | Washington, IL 61571-2657 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2013 |
| Last Update Date | 27/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.