Individual provider · Type 1 NPI

Kasey Lynn Anderson

Mental Health Counselor · Bloomington, IL

NPI number 1245489194 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Fax (309) 829-6808

Mailing address

401 E Locust St Apt F
Bloomington, IL 61701-3159

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245489194

Kasey Lynn Anderson's National Provider Identifier is 1245489194, issued on Sep 16, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Sep 16, 2008.