Provider Demographics
NPI:1427582162
Name:NOTO, JONATHAN (LCPC)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:NOTO
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 MARGRET ST
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6321
Mailing Address - Country:US
Mailing Address - Phone:630-808-9745
Mailing Address - Fax:
Practice Address - Street 1:100 N WAUKEGAN RD STE 204
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-1660
Practice Address - Country:US
Practice Address - Phone:630-808-9745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008802101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional