Provider Demographics
NPI:1376879510
Name:SOLECKI, YOLANDA M (MA, LCPC, CADC)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:M
Last Name:SOLECKI
Suffix:
Gender:F
Credentials:MA, LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 S LA GRANGE RD
Mailing Address - Street 2:OFFICE 25
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2800
Mailing Address - Country:US
Mailing Address - Phone:708-808-4572
Mailing Address - Fax:708-588-1501
Practice Address - Street 1:1030 S LA GRANGE RD
Practice Address - Street 2:OFFICE 9
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2800
Practice Address - Country:US
Practice Address - Phone:708-808-4572
Practice Address - Fax:708-588-1501
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.004409101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health