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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LACEY JO ANDERSON

Active

MRS. LACEY JO ANDERSON is a Professional Counselor healthcare provider located in CHANNAHON, Illinois. NPI 1861872558 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHANNAHON, IL

Registration Details

NPI Number
1861872558
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2015 (11.003636341435 yrs)
Last Updated
Jun 8, 2015
License
180 (IL)

Practice Information

Address
25224 W. EAMES ST.
CHANNAHON, IL, 604103102
Browse IL providers · Browse ZIP 60410
Phone
8154678181
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CHANNAHON, IL

Name Credential NPI
MRS. SUZZANNA LEEANN ROWOLD LCPC 1619148921
MARYANN COOK M.A., L.C.P.C. 1184899387
MRS. JACLYN WESOLOWSKI MA, LCPC 1235471806
ANGELA DECRAENE 1437571346
COURTNEY DOYLE-O'BRIEN LCPC 1801212394
MICHAEL RAGAN LPC 1003260431
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.