Provider Demographics
NPI:1619742434
Name:JIANG, YUEHONG
Entity Type:Individual
Prefix:
First Name:YUEHONG
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:JIANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:977 LAKEVIEW PKWY STE 180
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1429
Mailing Address - Country:US
Mailing Address - Phone:847-986-0580
Mailing Address - Fax:
Practice Address - Street 1:977 LAKEVIEW PKWY STE 180
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1429
Practice Address - Country:US
Practice Address - Phone:847-986-0580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional