Doctor Name: | MRS. KRISTI LINKE |
NPI Number: | 1114244506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 178006610 |
Business Practice Address: | 621 Rollingwood Dr Shorewood, IL - 604040665 |
Business Phone Number: | 8157255188 |
Business Fax Number: | 8157257550 |
Mailing Address: | 21998 Heritage Drive, FRANKFROT |
State: | IL |
Postal Code: | 60423 |
Phone Number: | 8159192755 |
Fax Number: | 8159192755 |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 10/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178006610 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |