Provider Demographics
NPI:1891899514
Name:HARMAN, JOANNE R (LCPC)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:R
Last Name:HARMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:HARMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:519 BANYON LN
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-1966
Mailing Address - Country:US
Mailing Address - Phone:708-927-5305
Mailing Address - Fax:
Practice Address - Street 1:26 S LA GRANGE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2488
Practice Address - Country:US
Practice Address - Phone:708-927-5305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004974101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001633619OtherBLUECROSSBLUESHIELD PIN