Individual provider · Type 1 NPI
Tristan N. McKinnis, LCPC
Professional Counselor · Chicago, IL
NPI number
1104229921
Active
Practice location
6638 W Bryn Mawr Ave
Chicago, IL 60631-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.009319 (IL) |
Professional Counselor: Definition to come...
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About NPI 1104229921
Tristan N. McKinnis, LCPC's National Provider Identifier is 1104229921, issued on Oct 7, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Oct 7, 2014.