Anderson, Minda

Anderson, Minda is an individual health care provider with primary practice located at 145 S Virginia St , Crystal Lake IL 60014-7226. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Anderson, Minda can be contacted via phone (815) 527-7300.

Contact Information

Primary practice address
145 S Virginia St Crystal Lake IL 60014-7226
Phone: (815) 527-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1902318652
LBN Legal business name Anderson, Minda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Nov 2nd, 2017 - about 8 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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