Provider Demographics
NPI:1598892747
Name:JOERIN, JANE ANN (CADC, CCMHC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ANN
Last Name:JOERIN
Suffix:
Gender:F
Credentials:CADC, CCMHC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 GROMER RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-9516
Mailing Address - Country:US
Mailing Address - Phone:847-506-9961
Mailing Address - Fax:847-697-2529
Practice Address - Street 1:1800 MCDONOUGH RD
Practice Address - Street 2:SUITE # 206
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-4566
Practice Address - Country:US
Practice Address - Phone:847-506-9961
Practice Address - Fax:847-697-2529
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL6985101YA0400X
23476101YM0800X
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional