Kristen Powell, LCPC
Counselor, Professional in Glen Ellyn, IL. Individual provider (NPI-1).
NPI number1982434528
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1982434528
- Entity type
- Individual (NPI-1)
- Name
- Kristen Powell
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.016.136 | IL | Yes |
Practice location
800 Roosevelt Rd Ste E220Glen Ellyn, IL 60137-5868
Phone 630-956-6041
Mailing address
20 Danada Sq W # 219Wheaton, IL 60189-2000
Phone 630-956-6041
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