MS. Sally W. Anderson, LCPC

NPI #1902972797 in Champaign, Illinois

Provider Information

NPI Number: 1902972797
Entity Type: Individual
Name: MS. Sally W. Anderson, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Nov 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 502 W CLARK ST
Address 2: SUITE 201
City: Champaign
State: Illinois
ZIP Code: 61820-4600
Phone: (217) 355-4450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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