Organization
KAYLA L ANDERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA L ANDERSON LCSW (OWNER)
(217) 473-8726
Entity
Organization
Contact information
Practice address
114 E LINCOLN ST, BELLEVILLE, IL 62220-2251
(217) 473-8726
Mailing address
1105 NATURESCAPE CT, O FALLON, IL 62269-6971
(217) 473-8726
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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