Provider Demographics
NPI:1184873143
Name:BELL, KRISTIN (LCPC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20855 S LAGRANGE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-2034
Mailing Address - Country:US
Mailing Address - Phone:708-214-4979
Mailing Address - Fax:
Practice Address - Street 1:20855 S LAGRANGE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-2034
Practice Address - Country:US
Practice Address - Phone:708-214-4979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health