Individual
KRISTEN FAISANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
900 SKOKIE BLVD STE 218, NORTHBROOK, IL 60062-4043
(847) 668-4295
(847) 668-4295
Mailing address
900 SKOKIE BLVD STE 218, NORTHBROOK, IL 60062-4043
(847) 668-4295
(847) 668-4295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180014438
IL
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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