Provider Demographics
NPI:1114244506
Name:LINKE, KRISTI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:
Last Name:LINKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21998 HERITAGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFROT
Mailing Address - State:IL
Mailing Address - Zip Code:60423
Mailing Address - Country:US
Mailing Address - Phone:815-919-2755
Mailing Address - Fax:815-919-2755
Practice Address - Street 1:621 ROLLINGWOOD DR
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60404-0665
Practice Address - Country:US
Practice Address - Phone:815-725-5188
Practice Address - Fax:815-725-7550
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178006610101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional