Provider Demographics
NPI:1376104935
Name:MESSIER, KAITLIN (LMFT)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:MESSIER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 E ALGONQUIN RD STE 405
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4159
Mailing Address - Country:US
Mailing Address - Phone:847-701-4191
Mailing Address - Fax:847-701-4191
Practice Address - Street 1:2030 E ALGONQUIN RD STE 405
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4159
Practice Address - Country:US
Practice Address - Phone:847-701-4191
Practice Address - Fax:847-701-4191
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166001292106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist