Provider Demographics
NPI:1629142757
Name:CAPRILES, YOLANDA (LCPC)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:CAPRILES
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 1:3941 N JANSSEN AVE
Mailing Address - Street 2:# 1-E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2615
Mailing Address - Country:US
Mailing Address - Phone:312-415-5965
Mailing Address - Fax:773-525-2552
Practice Address - Street 1:3000 N HALSTED ST
Practice Address - Street 2:SUITE 505
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5188
Practice Address - Country:US
Practice Address - Phone:312-415-5965
Practice Address - Fax:773-525-2552
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
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