Individual provider · Type 1 NPI

Kaitlyn Sirtout, LPC

Professional Counselor · Springfield, IL

NPI number 1306497540 Active

Practice location

120 N 11th St
Springfield, IL 62703-1002

Mailing address

113 Bob O Link Ln
Virden, IL 62690-9708

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.014647 (IL)

Professional Counselor: Definition to come...

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About NPI 1306497540

Kaitlyn Sirtout, LPC's National Provider Identifier is 1306497540, issued on Sep 27, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Sep 27, 2019.