Nicole Elise Anderson, LCSW

NPI #1346900909 in Normal, Illinois

Provider Information

NPI Number
1346900909
Entity Type
Individual
Name
Nicole Elise Anderson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Dec 23, 2021
Last Updated
Dec 23, 2021

Practice Location

Address
1105 MARKET ST
City
Normal
ZIP Code
61761-3329
Phone
(309) 310-1629

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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