Anderson, Roger P

Anderson, Roger P is an individual health care provider with primary practice located at 3400 W New Leaf Ln , Peoria IL 61615-3311. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Anderson, Roger P can be contacted via phone (309) 692-6900.

Contact Information

Primary practice address
3400 W New Leaf Ln Peoria IL 61615-3311
Phone: (309) 692-6900
Fax: (309) 689-3086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.000673 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1497981815
LBN Legal business name Anderson, Roger P
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2009
Last updated Jun 1st, 2009 - about 15 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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