Provider Demographics
NPI:1376992099
Name:GUNST, CAITLYN B (MHP)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:B
Last Name:GUNST
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:C
Other - Last Name:BUSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 S NAPERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5423
Mailing Address - Country:US
Mailing Address - Phone:630-492-1388
Mailing Address - Fax:
Practice Address - Street 1:315 S NAPERVILLE RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5423
Practice Address - Country:US
Practice Address - Phone:630-492-1388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001229106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health