| Doctor Name: | KRISTA G BRENNFOERDER |
| NPI Number: | 1194095950 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCPC |
| License Number: | 2009017307 |
| Business Practice Address: | 1120 E Main St Suite 201 St Charles, IL - 601742287 |
| Business Phone Number: | 6303776613 |
| Business Fax Number: | 6303776225 |
| Mailing Address: | 1120 E Main St, Suite 201 ST CHARLES |
| State: | IL |
| Postal Code: | 601742287 |
| Phone Number: | 6303776613 |
| Fax Number: | 6303776225 |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2009017307 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |