Anita Jeanette Carney
Counselor, Mental Health in Dixon, IL. Individual provider (NPI-1).
NPI number1366074536
StatusActive
Last updated in NPPESFeb 6, 2020
Details
- NPI
- 1366074536
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Anita Jeanette Carney
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Feb 6, 2020
- Last updated
- Feb 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
325 Illinois Rt 2Dixon, IL 61021-9118
Phone 815-284-6611
Mailing address
325 Illinois Rt 2Dixon, IL 61021-9118
Phone 815-284-6611
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