Andersen, Kathryn

Andersen, Kathryn is an individual health care provider with primary practice located at 3248 Vandever Ave , Pekin IL 61554-6257. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Andersen, Kathryn can be contacted via phone (309) 347-5579.

Contact Information

Primary practice address
3248 Vandever Ave Pekin IL 61554-6257
Phone: (309) 347-5579
Fax: (309) 347-4264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1629464953
LBN Legal business name Andersen, Kathryn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated Apr 14th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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