NPI 1013154129

Kristine Olivas

Organisation Marriage & Family Therapist Chicago, IL

Practice location

Address: 10725 S Western Ave, Chicago, IL 60643-3135
Phone: (773) 957-5352
Fax: (773) 253-9551
Mailing address: 11164 S Saint Louis Ave, Chicago, IL 60655-3521

Authorised official

Name: Kristine Olivas
Title: Owner
Phone: (773) 957-5352

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 166.000734 (IL)

Other Marriage & Family Therapist providers in Illinois →

Registry record

NPI: 1013154129
Entity type: Organization
NPI issued: 12 Jan 2009
Record last updated: 10 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.