Individual
DEMI C ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1790 NATIONS DR STE 101-110, GURNEE, IL 60031-9164
(224) 201-1530
Mailing address
108 E WASHINGTON ST, ROUND LAKE PARK, IL 60073-3060
(224) 201-1530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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