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Individual
KRISTINA L MENZEL
Active
Individual
KRISTINA L MENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180001135
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20206303403
JOHN DEERE
—
01
—
215708
COM PSYCH
—
01
—
361563452
TRICARE
—
01
—
623783
BCBS ILL
—
Enumeration date
02/02/2006
Last updated
09/21/2021
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