Provider Demographics
NPI:1013505965
Name:YRIGOYEN, TAYLOR EILEEN (LCPC, CADC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:EILEEN
Last Name:YRIGOYEN
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:EILEEN
Other - Last Name:SALATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, CADC
Mailing Address - Street 1:835 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3164
Mailing Address - Country:US
Mailing Address - Phone:847-980-2018
Mailing Address - Fax:
Practice Address - Street 1:910 SKOKIE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4032
Practice Address - Country:US
Practice Address - Phone:847-480-0300
Practice Address - Fax:847-291-0576
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180013359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health