Organization
CAROL L. ANDERSON
Active
Other names
Anderson and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L ANDERSON PSY.D. (CLINICAL PSYCHOLOGIST/OWNER)
(708) 614-6190
Entity
Organization
Contact information
Practice address
17726 OAK PARK AVE, SUITE H, TINLEY PARK, IL 60477-3917
(708) 614-6190
(708) 614-6189
Mailing address
17726 OAK PARK AVE, SUITE H, TINLEY PARK, IL 60477-3917
(708) 614-6190
(708) 614-6189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071-004363
IL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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