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NPI Profile for DESTENY ANDERSON in CHICAGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1437875143 |
|
| Status | Active | |
| Credentials | MA QMHP | |
| Entity | Individual | |
| Enumeration date | 10/13/2022 | |
| Last updated | 10/13/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DESTENY ANDERSON
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DESTENY ANDERSON, MA QMHP