Anderson, Kristin Marie
Anderson, Kristin Marie is an sole proprietor health care provider with primary practice located at 1250 Executive Pl Suite #404, Geneva IL 60134-3807. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Kristin Marie can be contacted via phone (630) 631-2180.Contact Information
Primary practice address
1250 Executive Pl Suite #404
Geneva IL 60134-3807
Phone: (630) 631-2180
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071.006406 | Illinois |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.006406 | Illinois |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 071.006406 | Illinois |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 071.006406 | Illinois |
Profile Details
NPI number | 1245550797 |
---|---|
LBN Legal business name | Anderson, Kristin Marie |
Credentials | PH.D., LCP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2010 |
Last updated | Feb 18th, 2013 - about 12 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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