Individual provider · Type 1 NPI
Nicole Elise Anderson, LCSW
Mental Health Counselor · Normal, IL
NPI number
1346900909
Active
Practice location
1105 Market St
Normal, IL 61761-3329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 149.022401 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1346900909
Nicole Elise Anderson, LCSW's National Provider Identifier is 1346900909, issued on Dec 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Normal, IL. The record was last updated on Dec 23, 2021.