Doctor Name: | MRS. KRYSTYNA ELMER |
NPI Number: | 1215132501 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.007285 |
Business Practice Address: | 752 Golf Ct Lake Barrington, IL - 600103869 |
Business Phone Number: | 8476135899 |
Business Fax Number: | 8473826271 |
Mailing Address: | 1655 N Arlington Heights Rd, Suite # 302e ARLINGTON HEIGHTS |
State: | IL |
Postal Code: | 600043982 |
Phone Number: | 7086060672 |
Fax Number: | 8473826271 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 02/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180.007285 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |