Michele Anderson

Individual provider Active NPI Mental Health Counselor · Wheaton, IL

NPI 1235500026 · NPPES record last updated Oct 19, 2015

Key facts

NPI
1235500026
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
111 N County Farm Rd
Wheaton, IL 60187-3977
Phone
(630) 682-7400
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

111 N County Farm Rd
Wheaton, IL 60187-3977

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 682-7400

Other providers in Wheaton, IL

All providers in Wheaton, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.