Provider Demographics
NPI:1700163730
Name:YORK, JAIMEE MARIE
Entity Type:Individual
Prefix:MRS
First Name:JAIMEE
Middle Name:MARIE
Last Name:YORK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 COUNTY ROAD 1000 N
Mailing Address - Street 2:
Mailing Address - City:LACON
Mailing Address - State:IL
Mailing Address - Zip Code:61540-8916
Mailing Address - Country:US
Mailing Address - Phone:309-472-1651
Mailing Address - Fax:
Practice Address - Street 1:6707 N SHERIDAN RD STE P
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-2849
Practice Address - Country:US
Practice Address - Phone:309-472-1651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health