SearchIllinois1041C0700X

Kristine Maynard, LCSW

NPI 1215077011 · on the registry since 2007 · sole proprietor

Practice

Address
1030 S. La Grange Rd
Ste #9
La Grange, IL 60525
Phone
(708) 921-3639
Fax
(708) 588-1501
Organisation at this address
Kris Maynard Lcsw Ltd
Eagle Eye Home Services, Inc
Psychological Wellness Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois