Kristin Lynn Wolter, LCPC
Counselor, Professional in Red Bud, IL. Individual provider (NPI-1).
NPI number1538428792
StatusActive
Last updated in NPPESMay 9, 2012
Details
- NPI
- 1538428792
- Entity type
- Individual (NPI-1)
- Name
- Kristin Lynn Wolter
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2012
- Last updated
- May 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.007196 | IL | Yes |
Practice location
10257 State Route 3Red Bud, IL 62278-4418
Phone 618-282-6233 · Fax 618-282-6949
Mailing address
10257 State Route 3Red Bud, IL 62278-4418
Phone 618-282-6233 · Fax 618-282-6949
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