Lookup NPI Numbers from the NPI Registry
NPI Profile for ROGER P ANDERSON in PEORIA, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Professional |
101YP2500X |
| NPI Number | 1497981815 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 06/01/2009 | |
| Last updated | 06/01/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROGER P ANDERSON
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ROGER P ANDERSON, LCPC