| Kaitlyn Whitebread Lcpc Pllc | |
|
1818 Dempster St Evanston IL 60202-1003 | |
| (440) 567-1044 | |
| Not Available |
| Full Name | Kaitlyn Whitebread Lcpc Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1818 Dempster St, Evanston, Illinois |
| Authorized Official Name and Position | Kaitlyn Whitebread (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4405671044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Whitebread Lcpc Pllc 726 Hinman Ave Apt 2e Evanston IL 60202-2570 Ph: (440) 567-1044 | Kaitlyn Whitebread Lcpc Pllc 1818 Dempster St Evanston IL 60202-1003 Ph: (440) 567-1044 |
| NPI Number | 1669124491 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669124491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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