Individual
MRS. ADDIE W ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7326 HARRISON ST, FOREST PARK, IL 60130-2017
(708) 870-6255
Mailing address
629 S TAYLOR AVE, OAK PARK, IL 60304-1621
(708) 870-6255
(708) 524-8492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005782
IL
Other
Enumeration date
03/10/2009
Last updated
03/13/2009
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