Provider Demographics
NPI:1467003699
Name:YUEN, JENA (LCPC)
Entity Type:Individual
Prefix:
First Name:JENA
Middle Name:
Last Name:YUEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 FERN DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-4013
Mailing Address - Country:US
Mailing Address - Phone:847-494-4974
Mailing Address - Fax:
Practice Address - Street 1:275 FERN DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-4013
Practice Address - Country:US
Practice Address - Phone:847-494-4974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-29
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional