Provider Information for 1609273176
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ANDREW MERCER M.A., LCPC
Sex: Male
NPI: 1609273176
Last Updated: 2024-06-26
Certification Date: 2024-06-26
Certification Date: 2024-06-26
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609273176 | ||||||||||||||||
| Enumeration Date | 2014-11-29 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 63 E LAKE ST APT 309 CHICAGO, IL 60601-5974 United States Phone: 847-209-9672 | Fax: | ||||||||||||||||
| Primary Practice Address | 63 E LAKE ST APT 309 CHICAGO, IL 60601-5974 United States Phone: 847-209-9672 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 2801 WATERWALL DR APT 528 | ||||||||||||||||
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