Provider Demographics
NPI:1386822070
Name:YARO, AMY MAE (LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MAE
Last Name:YARO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:ALYINOVICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:750 OAKMONT LN
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5551
Mailing Address - Country:US
Mailing Address - Phone:630-861-1595
Mailing Address - Fax:
Practice Address - Street 1:7424 ARCHER AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:IL
Practice Address - Zip Code:60501-1279
Practice Address - Country:US
Practice Address - Phone:708-458-8228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.005305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional