person
Brandi M Lander, LCSW
Mental Health Counselor in Rockton, Illinois
NPI 1245301472

Brandi M Lander is a Mental Health Counselor based in Rockton, IL and is specialized in Mental Health. Brandi M Lander practices in Rockton, IL and has the professional credentials of LCSW. The NPI Number for Brandi M Lander is 1245301472 and holds a License No. 149010571 (Illinois).

The current practice location address for Brandi M Lander is 1107 N. Blackhawk Blvd, Rockton, IL and can be reached out via phone at 815-519-1074 and via fax at 815-977-5929.

Location: 1107 N. Blackhawk Blvd, Rockton, IL, 61072-1500
person
Provider Profile Details
NPI Number
1245301472
Provider Name
Brandi M Lander
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1107 N. Blackhawk Blvd, Rockton, IL, 61072-1500
Phone Number
815-519-1074
Fax Number
815-977-5929
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL 5794 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1107 N. Blackhawk Blvd
City
State
Zip
61072-1500
Phone Number
815-519-1074
Fax Number
815-977-5929
person
Provider Business Mailing Address Details
Address
1107 N. Blackhawk Blvd
City
State
Zip
61072-1500
Phone Number
815-519-1074
Fax Number
815-977-5929
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149010571 (Illinois)
Definition
Definition to come...
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