Organization
CHRISTINA KITTSTEIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA KITTSTEIN LCPC (MANAGER)
(618) 979-7301
Entity
Organization
Contact information
Practice address
6209 E MAIN ST, MARYVILLE, IL 62062-2015
(618) 979-7301
(888) 972-8757
Mailing address
10104 STATE ROUTE 4, LEBANON, IL 62254-2612
(618) 979-7301
(888) 972-8757
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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