Roger P Anderson, LCPC
Counselor, Mental Health in Peoria, IL. Individual provider (NPI-1).
NPI number1497981815
StatusActive
Last updated in NPPESJun 1, 2009
Details
- NPI
- 1497981815
- Entity type
- Individual (NPI-1)
- Name
- Mr. Roger P Anderson
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2009
- Last updated
- Jun 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 180.000673 | IL | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
3400 W New Leaf LnPeoria, IL 61615-3311
Phone 309-692-6900 · Fax 309-689-3086
Mailing address
600 Fayette StPo Box 1346
Peoria, IL 61603-3610
Phone 309-671-8000 · Fax 309-671-8039
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All 123 Mental Health Counselor providers in Peoria · All 5,546 providers in Peoria
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