person
Mr. Roger P Anderson, LCPC
Professional Counselor in Peoria, Illinois
NPI 1497981815

Roger P Anderson is a Professional Counselor based in Peoria, IL and is specialized in Professional. Roger P Anderson practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Roger P Anderson is 1497981815 and holds a License No. (Illinois).

The current practice location address for Roger P Anderson is 3400 W New Leaf Ln, Peoria, IL and can be reached out via phone at 309-692-6900 and via fax at 309-689-3086.

Location: 3400 W New Leaf Ln, Peoria, IL, 61603-3610
person
Provider Profile Details
NPI Number
1497981815
Provider Name
Roger P Anderson
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
3400 W New Leaf Ln, Peoria, IL, 61603-3610
Phone Number
309-692-6900
Fax Number
309-689-3086
Provider Enumeration Date
06/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 W New Leaf Ln
City
State
Zip
61615-3311
Phone Number
309-692-6900
Fax Number
309-689-3086
person
Provider Business Mailing Address Details
Address
3400 W New Leaf Ln
City
State
Zip
61615-3311
Phone Number
309-692-6900
Fax Number
309-689-3086
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.000673 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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