Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Andersen

Individual provider Counselor · NPI 1619755618

Stacey Andersen is a Counselor in Pekin, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

3248 Vandever Ave
Pekin, IL 61554-6274
Phone: (309) 347-5522
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1619755618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address3248 Vandever Ave, Pekin, IL 61554-6274

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