Individual
DR. CHARLES C. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
3411 N KENNICOTT AVE, STE B, ARLINGTON HEIGHTS, IL 60004-7813
(847) 398-1717
Mailing address
2030 N MAGNOLIA AVE, CHICAGO, IL 60614-4010
(847) 398-1717
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
IL
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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