Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 180-005280 | IL |
Y | 101YP2500X | Professional Counselor | 180-005280 | IL |
NPI | 1033341391 |
---|---|
Provider Name | Ms. Melinda Lupfer Yachnin |
First Address | Chicago, IL 60611-3591 |
Second Address | Chicago, IL 60611-3591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2009 |
Last Update Date | 19/08/2009 |