Individual
VAYA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
106 S COUNTRY FAIR DR, CHAMPAIGN, IL 61821-3063
(217) 373-8200
Mailing address
106 S COUNTRY FAIR DR, CHAMPAIGN, IL 61821-3063
(217) 373-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33597
IL
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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