Individual provider · Type 1 NPI
Kathryn Andersen
Addiction (Substance Use Disorder) Counselor · Pekin, IL
NPI number
1629464953
Active
Practice location
3248 Vandever Ave
Pekin, IL 61554-6257
Fax (309) 347-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Social Worker | 104100000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629464953
Kathryn Andersen's National Provider Identifier is 1629464953, issued on Apr 14, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pekin, IL. The record was last updated on Apr 14, 2015.