Individual provider · Type 1 NPI

Gary Anderson, M.A.

Mental Health Counselor · Peoria, IL

NPI number 1457692279 Active

Practice location

1200 Hamilton Blvd
Peoria, IL 61606-1525

Call (309) 637-1696 Map

Fax (309) 589-7981

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180003875 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1457692279

Gary Anderson, M.A.'s National Provider Identifier is 1457692279, issued on Mar 4, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Mar 4, 2013.