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Individual

MS. AFRICA C ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S. ATP, RN

Contact information

Practice address
20 DANADA SQ W # 283, WHEATON, IL 60189-2000
(312) 857-5262
Mailing address
20 DANADA SQ W # 283, WHEATON, IL 60189-2000
(630) 915-5998

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
106E00000X
Assistant Behavior Analyst
163W00000X
Registered Nurse
Primary
041557661
IL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
041557661
IL
163WC0400X
Case Management Registered Nurse
041557661
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
041557661
IL
163WS0200X
School Registered Nurse
041557661
IL
171M00000X
Case Manager/Care Coordinator
225C00000X
Rehabilitation Counselor
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
05/22/2019
Last updated
02/05/2024
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