Individual provider · Type 1 NPI

Martha Keenan Anderson, LPC

Professional Counselor · Carterville, IL

NPI number 1972280501 Active

Practice location

310 W Plaza Dr
Carterville, IL 62918-1980

Call (618) 985-4434 Map

Mailing address

1503 W Walnut St
Carbondale, IL 62901-2259

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.018609 (IL)

Professional Counselor: Definition to come...

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About NPI 1972280501

Martha Keenan Anderson, LPC's National Provider Identifier is 1972280501, issued on Jul 5, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Carterville, IL. The record was last updated on Jul 5, 2023.