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Search › Illinois › 101YP2500X

Andrew Wall, LCPC

NPI 1376899799 · on the registry since 2012 · sole proprietor

Practice

Address
1623 N Western Ave
Chicago, IL 60647
Phone
(773) 551-7204
Organisation at this address
Stephanie N Harris
Bucktown Counseling
The Moment Therapy, Llc
Stephanie Harris Lcpc Pllc
Stephanie E. Cold Lcpc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
101YA0400X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois