Provider Demographics
NPI:1417937186
Name:YOURG, JANEEN M (MA LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JANEEN
Middle Name:M
Last Name:YOURG
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:
Other - First Name:JANEEN
Other - Middle Name:M
Other - Last Name:SAMARTINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LCPC
Mailing Address - Street 1:1655 N ARLINGTON HTS RD
Mailing Address - Street 2:STE 303E
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004
Mailing Address - Country:US
Mailing Address - Phone:847-638-3700
Mailing Address - Fax:
Practice Address - Street 1:1655 N ARLINGTON HTS RD
Practice Address - Street 2:STE 303E
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-638-3700
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
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