Individual
ANNA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3 OAK DR STE B, MARYVILLE, IL 62062-5635
(618) 972-1568
Mailing address
3 OAK DR STE B, MARYVILLE, IL 62062-5635
(618) 972-1568
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.013317
IL
101YP2500X
Professional Counselor
Primary
180.013886
IL
Other
Enumeration date
07/09/2019
Last updated
03/15/2024
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