Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN AGNEW
Active Sole ProprietorKRISTIN AGNEW is a Mental Health Clinic healthcare provider located in JOLIET, Illinois. NPI 1033584016 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · JOLIET, IL
Registration Details
- NPI Number
- 1033584016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2015 (10.51118548643 yrs)
- Last Updated
- Jul 5, 2024
- License
-
149.022778 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
777 JOYCE RDJOLIET, IL, 604361876Browse IL providers · Browse ZIP 60436
- Phone
- 8158238038
- Primary Specialty
-
Mental Health Clinic
261QM0801X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.