IndividualActive
Joan Bistry, M.A., N.C.C.A.
NPI 1669750139 · Counselor · Dwight, IL
Provider details
- NPI number
- 1669750139
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- M.A., N.C.C.A.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Pastoral Counselor101YP1600X
Behavioral Health & Social Service Providers
Practice location
318 W Chippewa St
Dwight, IL 60420-1206
Phone: (815) 584-9312
Approximate (ZIP-level) locationGet directions
Mailing address
318 W Chippewa St
Dwight, IL 60420-1206
Registry dates
- Enumerated
- 2011-08-01
- Last updated
- 2011-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.