Individual provider · NPI-1

Demi C Andersen, MHP

Counselor, Mental Health · Gurnee, IL

NPI number1306583091
StatusActive
Last updated in NPPESMay 16, 2022

Details

NPI
1306583091
Entity type
Individual (NPI-1)
Name
Demi C Andersen
Credential
MHP
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2022
Certification date
May 16, 2022
Last updated
May 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1790 Nations Dr Ste 101-110
Gurnee, IL 60031-9164

Phone 224-201-1530

Mailing address

108 E Washington St
Round Lake Park, IL 60073-3060

Phone 224-201-1530

Other practice locations

108 E Washington St
Round Lake Park, IL 60073-3060

Phone 224-201-1530

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