Provider Demographics
NPI:1881341840
Name:BEALL, KRISTIN LYNN (MSW)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LYNN
Last Name:BEALL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 S GOEBBERT RD APT 202
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5704
Mailing Address - Country:US
Mailing Address - Phone:847-404-1797
Mailing Address - Fax:
Practice Address - Street 1:1375 REMINGTON RD STE K
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4844
Practice Address - Country:US
Practice Address - Phone:847-220-6981
Practice Address - Fax:888-234-7628
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor