Provider Demographics
NPI:1144009432
Name:LOW, KRISTIN ANNE (LPC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANNE
Last Name:LOW
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 1:24066 S CICERO AVE
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-9794
Mailing Address - Country:US
Mailing Address - Phone:708-997-0028
Mailing Address - Fax:
Practice Address - Street 1:21 S WHITE ST UNIT 3
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-4007
Practice Address - Country:US
Practice Address - Phone:815-662-5480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.008173101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health