Anderson, Nicole Louise

Anderson, Nicole Louise is an individual health care provider with primary practice located at 405 Central Ave , Northfield IL 60093-3006. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Anderson, Nicole Louise can be contacted via phone (847) 441-5600.

Contact Information

Primary practice address
405 Central Ave Northfield IL 60093-3006
Phone: (847) 441-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.013375 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X BC-DMT-1388 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180013375 Illinois

Profile Details

NPI number 1386385672
LBN Legal business name Anderson, Nicole Louise
Credentials MA, LCPC, BC-DMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2022
Last updated May 13th, 2024 - about 2 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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