Provider Demographics
NPI:1518442268
Name:ROONEY, KAITLIN MORGAN (LMFT)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:MORGAN
Last Name:ROONEY
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 1:850 ELM ST NE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1271
Mailing Address - Country:US
Mailing Address - Phone:320-296-5009
Mailing Address - Fax:
Practice Address - Street 1:16 WASHINGTON AVE W
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-2480
Practice Address - Country:US
Practice Address - Phone:320-632-5524
Practice Address - Fax:888-991-2741
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3558106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty