Provider Demographics
NPI:1255416046
Name:ESHLEMAN, JOY ELLEN (MA LCPC)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ELLEN
Last Name:ESHLEMAN
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 CEDAR ROAD
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1305
Mailing Address - Country:US
Mailing Address - Phone:708-922-1504
Mailing Address - Fax:
Practice Address - Street 1:401 E 162ND STREET
Practice Address - Street 2:SUITE 109
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473
Practice Address - Country:US
Practice Address - Phone:708-339-2769
Practice Address - Fax:708-339-6776
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor