Provider Demographics
NPI:1588138812
Name:CARN, CRISTEN (LCPC)
Entity type:Individual
Prefix:
First Name:CRISTEN
Middle Name:
Last Name:CARN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:CRISTEN
Other - Middle Name:
Other - Last Name:CARN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:1565 WINBERIE CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9746
Mailing Address - Country:US
Mailing Address - Phone:630-768-9786
Mailing Address - Fax:
Practice Address - Street 1:3697 DARLENE CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-6515
Practice Address - Country:US
Practice Address - Phone:630-768-9786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014490101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional