Anderson, Tisha

Anderson, Tisha is an individual health care provider with primary practice located at 12 Health Services Dr , Dekalb IL 60115-9637. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Anderson, Tisha can be contacted via phone (815) 756-4875.

Contact Information

Primary practice address
12 Health Services Dr Dekalb IL 60115-9637
Phone: (815) 756-4875
Fax: (815) 756-2944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / School 101YS0200X 2488174 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1972969814
LBN Legal business name Anderson, Tisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2016
Last updated Jan 7th, 2016 - 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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