Anderson, Carrie J

Anderson, Carrie J is an individual health care provider with primary practice located at 702 W Chestnut St , Bloomington IL 61701-2814. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Anderson, Carrie J can be contacted via phone (309) 827-6026.

Contact Information

Primary practice address
702 W Chestnut St Bloomington IL 61701-2814
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.004675 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-004675 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.004675 Illinois

Profile Details

NPI number 1144352212
LBN Legal business name Anderson, Carrie J
Credentials MA LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Nov 13th, 2023 - about last year

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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