Individual
ALONDRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0093
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.012449
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/29/2019
Last updated
01/03/2020
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