Provider Demographics
NPI:1487738035
Name:ROBERTIE, CATINA BESSANT (MA, LCPC)
Entity type:Individual
Prefix:
First Name:CATINA
Middle Name:BESSANT
Last Name:ROBERTIE
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 NEWTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-9343
Mailing Address - Country:US
Mailing Address - Phone:815-546-5940
Mailing Address - Fax:
Practice Address - Street 1:1514 NEWTOWNE DR
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-9343
Practice Address - Country:US
Practice Address - Phone:815-546-5940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007118101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional