Doctor Name: | KATHERINE A LETOURNEAU |
NPI Number: | 1265763346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.016028 |
Business Practice Address: | 611 Rockland Rd Suite 203 Lake Bluff, IL - 600442000 |
Business Phone Number: | 8479022275 |
Business Fax Number: | |
Mailing Address: | 760 Falls Cir, LAKE FOREST |
State: | IL |
Postal Code: | 600454407 |
Phone Number: | 8479022275 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2010 |
NPI Last Update Date: | 05/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.016028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |