Provider Demographics
NPI:1710253711
Name:PASAKARNIS, JANET LYNN (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:LYNN
Last Name:PASAKARNIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2732 N KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1514
Mailing Address - Country:US
Mailing Address - Phone:773-489-7304
Mailing Address - Fax:773-489-7885
Practice Address - Street 1:2732 N KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-1514
Practice Address - Country:US
Practice Address - Phone:773-489-7304
Practice Address - Fax:773-489-7885
Is Sole Proprietor?:No
Enumeration Date:2012-03-24
Last Update Date:2012-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.008054101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional