Individual provider · Type 1 NPI

Kristen Fanella

Professional Counselor · Machesney Park, IL

NPI number 1255114294 Active

Practice location

1205 W Lane Rd
Machesney Park, IL 61115-1625

Call (815) 655-7989 Map

Other practice locations

  • 5906 Elaine Dr, Rockford, IL 61108-2467 · (779) 210-3453

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

8 other providers at this address

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About NPI 1255114294

Kristen Fanella's National Provider Identifier is 1255114294, issued on Aug 15, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Machesney Park, IL. The record was last updated on Apr 28, 2025.