Organization
KRISTA TYNER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA TYNER LCPC (OWNER)
(312) 445-0774
Entity
Organization
Contact information
Practice address
4132 N LAWNDALE AVE # 2, CHICAGO, IL 60618-2007
(312) 445-0774
Mailing address
4132 N LAWNDALE AVE # 2, CHICAGO, IL 60618-2007
(312) 445-0774
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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