Individual provider · Type 1 NPI

Roger P. Anderson, LCPC

Mental Health Counselor · Peoria, IL

NPI number 1497981815 Active

Practice location

3400 W New Leaf Ln
Peoria, IL 61615-3311

Call (309) 692-6900 Map

Fax (309) 689-3086

Mailing address

600 Fayette St, PO Box 1346
Peoria, IL 61603-3610

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X180.000673 (IL)
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497981815

Roger P. Anderson, LCPC's National Provider Identifier is 1497981815, issued on Jun 1, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Jun 1, 2009.