Individual
MRS. KRISTINA GAY WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,CADC,RN
Contact information
Practice address
5320 159TH STREET, SUITE 100, OAK FOREST, IL 60452
(708) 717-0191
Mailing address
390 E. BETHEL, BOURBONNAIS, IL 60914
(708) 936-0778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5573
IL
101YP2500X
Professional Counselor
—
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
IL
Other
Enumeration date
10/03/2006
Last updated
09/11/2025
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