Individual provider · Type 1 NPI

Anderson Boatman, LPC

Professional Counselor · Freeport, IL

NPI number 1043721665 Active

Practice location

421 W Exchange St
Freeport, IL 61032-4008

Mailing address

PO Box 813
Freeport, IL 61032-0813

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X178015095 (IL)

Professional Counselor: Definition to come...

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About NPI 1043721665

Anderson Boatman, LPC's National Provider Identifier is 1043721665, issued on Oct 23, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Freeport, IL. The record was last updated on Apr 29, 2024.