Provider Demographics
NPI:1811002660
Name:CJN THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CJN THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MS LCPC
Authorized Official - Phone:630-308-0893
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:IL
Mailing Address - Zip Code:60135-7520
Mailing Address - Country:US
Mailing Address - Phone:630-308-0893
Mailing Address - Fax:815-784-5736
Practice Address - Street 1:5334 WILLIAMS DRIVE
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073
Practice Address - Country:US
Practice Address - Phone:630-308-0893
Practice Address - Fax:815-784-5736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01932054OtherBCBS IL INSURANCE