IndividualActive
Anderson Boatman, LPC
NPI 1043721665 · Professional Counselor · Freeport, IL
Provider details
- NPI number
- 1043721665
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
421 W Exchange St
Freeport, IL 61032-4008
Phone: (815) 599-7300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 813
Freeport, IL 61032-0813
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2024-04-29
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.