NPI 1043721665

Anderson Boatman, LPC

Practitioner Professional Counselor Freeport, IL

Practice location

Address: 421 W Exchange St, Freeport, IL 61032-4008
Phone: (815) 599-7300
Mailing address: PO Box 813, Freeport, IL 61032-0813

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 178015095 (IL)

Other Counselor providers in Illinois →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Registry record

NPI: 1043721665
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2017
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.