Provider Demographics
NPI:1609365733
Name:GALUSZKA, KRISTINA (LCPC, CADC)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:GALUSZKA
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 PLUM TREE DR
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-8309
Mailing Address - Country:US
Mailing Address - Phone:847-997-3359
Mailing Address - Fax:
Practice Address - Street 1:1301 PYOTT RD STE 201G
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-9797
Practice Address - Country:US
Practice Address - Phone:224-208-5874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012751101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health