Provider Demographics
NPI:1265603765
Name:TOMCZAK, KRISTIN MARIE (LMHC/LCPC)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MARIE
Last Name:TOMCZAK
Suffix:
Gender:F
Credentials:LMHC/LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 BRICKELL AVE UNIT 1806
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3763
Mailing Address - Country:US
Mailing Address - Phone:708-309-8576
Mailing Address - Fax:
Practice Address - Street 1:1010 BRICKELL AVE UNIT 1806
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3763
Practice Address - Country:US
Practice Address - Phone:708-309-8576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006952101YP2500X
FL18632101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional