Provider Demographics
NPI:1154330314
Name:YUFIT, AVEVA TAMARA (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:AVEVA
Middle Name:TAMARA
Last Name:YUFIT
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 1:5308 S HYDE PARK BLVD
Mailing Address - Street 2:APT. 1F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-5737
Mailing Address - Country:US
Mailing Address - Phone:773-363-4012
Mailing Address - Fax:773-363-2868
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:SUITE 1819
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3402
Practice Address - Country:US
Practice Address - Phone:773-363-2868
Practice Address - Fax:773-363-2868
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional