Individual
MS. ANITA ANN THOMAS BUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC,LPC
Contact information
Practice address
1639 N ALPINE RD STE 260, ROCKFORD, IL 61107-1481
(815) 395-1500
(833) 656-2718
Mailing address
1639 N ALPINE RD STE 260, ROCKFORD, IL 61107-1481
(815) 395-1500
(833) 656-2718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008157
IL
101YP2500X
Professional Counselor
178004743
IL
101YP2500X
Professional Counselor
3755-125
WI
Other
Enumeration date
02/03/2007
Last updated
12/23/2025
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