Provider Demographics
NPI:1487223657
Name:KAATZ, JEANNINE AUCOIN (MS, MA, LMHC)
Entity Type:Individual
Prefix:
First Name:JEANNINE
Middle Name:AUCOIN
Last Name:KAATZ
Suffix:
Gender:F
Credentials:MS, MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 PLEASANT VALLEY ST STE 1-206
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5855
Mailing Address - Country:US
Mailing Address - Phone:978-934-9444
Mailing Address - Fax:
Practice Address - Street 1:184 PLEASANT VALLEY ST STE 1-206
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5855
Practice Address - Country:US
Practice Address - Phone:978-934-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10000244101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health