Provider Demographics
NPI:1851848451
Name:PATRUN, YANA (LCPC)
Entity Type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:PATRUN
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 1:332 S. MICHIGAN AVE.
Mailing Address - Street 2:#1024
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3945
Mailing Address - Country:US
Mailing Address - Phone:312-772-2883
Mailing Address - Fax:
Practice Address - Street 1:332 S MICHIGAN AVE STE 1024
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-4483
Practice Address - Country:US
Practice Address - Phone:888-726-7170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.011038101YP2500X
IL180.010879101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional