Provider Demographics
NPI:1306212121
Name:JUHASZ, MICHAEL I
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:JUHASZ
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:S
Other - Last Name:JUHASZ
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:502 W HUNTINGTON COMMONS RD APT 336
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-5256
Mailing Address - Country:US
Mailing Address - Phone:224-217-0811
Mailing Address - Fax:
Practice Address - Street 1:502 W HUNTINGTON COMMONS RD APT 336
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-5256
Practice Address - Country:US
Practice Address - Phone:224-217-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-16
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180000123101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health