KAITLYNN ELIZABETH MARTIN
NPI 1417587544
Counselor - Mental Health in Waukegan, IL
Active since January 16, 2020
About Kaitlynn Elizabeth Martin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYNN ELIZABETH MARTIN (NPI 1417587544) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1417587544
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYNN ELIZABETH MARTIN
Location Address671 S LEWIS AVEWaukegan, IL 60085-6101
Mailing Address2065 Half Day RdDeerfield, IL 60015-1241
Phone(847) 782-4000
Sole ProprietorYes
Enumeration DateJanuary 16, 2020
✔ NPI 1417587544 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
671 S LEWIS AVE, Waukegan, IL 60085
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
671 S LEWIS AVE
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417587544, enumerated as an "individual" on January 16, 2020.
The provider is located at 671 S LEWIS AVE WAUKEGAN, IL 60085 and the phone number is (847) 782-4000.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
