Individual provider · Type 1 NPI
Kristina Gay Wynn, LCSW, CADC, RN
Addiction (Substance Use Disorder) Counselor · Oak Forest, IL
NPI number
1356436653
Active
Practice location
5320 159th Street, Suite 100
Oak Forest, IL 60452
Mailing address
390 E. Bethel
Bourbonnais, IL 60914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5573 (IL) |
| Professional Counselor | 101YP2500X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1356436653
Kristina Gay Wynn, LCSW, CADC, RN's National Provider Identifier is 1356436653, issued on Oct 3, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oak Forest, IL. The record was last updated on Sep 11, 2025.