Individual
ANDERSON BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
421 W EXCHANGE ST, FREEPORT, IL 61032-4008
(815) 599-7300
Mailing address
PO BOX 813, FREEPORT, IL 61032-0813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
178015095
IL
Other
Enumeration date
10/23/2017
Last updated
04/29/2024
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