Individual
KAITLIN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALMFT
Contact information
Practice address
333 N MICHIGAN AVE STE 1010, CHICAGO, IL 60601-3729
(312) 650-9249
Mailing address
2541 W HUTCHINSON ST APT 1, CHICAGO, IL 60618-1503
(312) 650-9249
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000853
IL
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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