| Doctor Name: | KRISTINA M SUNDERMANN |
| NPI Number: | 1093142507 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAAT, LCPC, ATR-BC |
| License Number: | 180006030 |
| Business Practice Address: | 16w241 S Frontage Rd Suite 35 Burr Ridge, IL - 605274400 |
| Business Phone Number: | 6304682341 |
| Business Fax Number: | 6304682865 |
| Mailing Address: | 222 Leitch Ave, LA GRANGE |
| State: | IL |
| Postal Code: | 605252161 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2013 |
| NPI Last Update Date: | 09/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180006030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |