person
Nicole Elise Anderson, LCSW
Mental Health Counselor in Normal, Illinois
NPI 1346900909

Nicole Elise Anderson is a Mental Health Counselor based in Normal, IL and is specialized in Mental Health. Nicole Elise Anderson practices in Normal, IL and has the professional credentials of LCSW. The NPI Number for Nicole Elise Anderson is 1346900909 and holds a License No. 149.022401 (Illinois).

The current practice location address for Nicole Elise Anderson is 1105 Market St, Normal, IL and can be reached out via phone at 309-310-1629.

Location: 1105 Market St, Normal, IL, 61761-3329
person
Provider Profile Details
NPI Number
1346900909
Provider Name
Nicole Elise Anderson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1105 Market St, Normal, IL, 61761-3329
Phone Number
309-310-1629
Fax Number
Provider Enumeration Date
12/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1105 Market St
City
State
Zip
61761-3329
Phone Number
309-310-1629
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Market St
City
State
Zip
61761-3329
Phone Number
309-310-1629
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149.022401 (Illinois)
Definition
Definition to come...
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