Individual
MS. FARAH E ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1033 7TH ST STE 104, EAST MOLINE, IL 61244-1462
(309) 316-3500
Mailing address
1033 7TH ST STE 104, EAST MOLINE, IL 61244-1462
(309) 316-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.011897
IL
Other
Enumeration date
07/31/2019
Last updated
04/28/2020
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