Provider Demographics
NPI:1316415078
Name:HUNT, KRISTIN MARRS (LCSW, MSW, MAT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MARRS
Last Name:HUNT
Suffix:
Gender:
Credentials:LCSW, MSW, MAT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:ANN
Other - Last Name:MARRS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34121 N US HIGHWAY 45 SUITE 226
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-0177
Mailing Address - Country:US
Mailing Address - Phone:224-880-0177
Mailing Address - Fax:224-880-0172
Practice Address - Street 1:34121 N US HIGHWAY 45 SUITE 226
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-0177
Practice Address - Country:US
Practice Address - Phone:224-880-0177
Practice Address - Fax:224-880-0172
Is Sole Proprietor?:No
Enumeration Date:2018-11-10
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0231731041C0700X
IL150.102699104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149.023173OtherIDFPR
IL150.102699OtherILLINOIS