person
Mrs. Lacey Jo Anderson
Professional Counselor in Channahon, Illinois
NPI 1861872558

Lacey Jo Anderson is a Professional Counselor based in Channahon, IL and is specialized in Professional. Lacey Jo Anderson practices in Channahon, IL. The NPI Number for Lacey Jo Anderson is 1861872558 and holds a License No. 180 (Illinois).

The current practice location address for Lacey Jo Anderson is 25224 W. Eames St., Channahon, IL and can be reached out via phone at 815-467-8181.

Location: 25224 W. Eames St., Channahon, IL, 60410-3102
person
Provider Profile Details
NPI Number
1861872558
Provider Name
Lacey Jo Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
25224 W. Eames St., Channahon, IL, 60410-3102
Phone Number
815-467-8181
Fax Number
Provider Enumeration Date
06/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25224 W. Eames St.
City
State
Zip
60410-3102
Phone Number
815-467-8181
Fax Number
person
Provider Business Mailing Address Details
Address
25224 W. Eames St.
City
State
Zip
60410-3102
Phone Number
815-467-8181
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180 (Illinois)
Definition
Definition to come...
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