Provider Demographics
NPI:1851793384
Name:FREE, CAITLIN ALEXANDRA
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ALEXANDRA
Last Name:FREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7964 KAUFFMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:MI
Mailing Address - Zip Code:49777
Mailing Address - Country:US
Mailing Address - Phone:989-439-0112
Mailing Address - Fax:
Practice Address - Street 1:7964 KAUFFMAN BLVD
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:MI
Practice Address - Zip Code:49777-8710
Practice Address - Country:US
Practice Address - Phone:989-439-0112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor