Individual
MRS. ANNA FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
201 W SPRINGFIELD AVE STE 1005, CHAMPAIGN, IL 61820-4968
(491) 821-7639
Mailing address
1033 OXFORD CT, CHARLESTON, IL 61920-1706
(217) 549-1148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.01410
IL
Other
Enumeration date
08/17/2018
Last updated
10/02/2018
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