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Alondra Anderson

Counselor in Belleville, IL. Individual provider (NPI-1).

NPI number1982252201
StatusActive
Last updated in NPPESJan 3, 2020

Details

NPI
1982252201
Entity type
Individual (NPI-1)
Name
Alondra Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2019
Certification date
Jan 3, 2020
Last updated
Jan 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor180.012449ILYes
101YP2500X Counselor, Professional––

Practice location

12 N 64th St
Belleville, IL 62223-3809

Phone 618-397-0093

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

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