Provider Demographics
NPI:1881874360
Name:LEE, EUNIA YOUNG (MA, LCPC)
Entity type:Individual
Prefix:MS
First Name:EUNIA
Middle Name:YOUNG
Last Name:LEE
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 1:1616 E ROOSEVELT RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-6850
Mailing Address - Country:US
Mailing Address - Phone:630-588-1201
Mailing Address - Fax:630-588-1209
Practice Address - Street 1:1260 IROQUOIS AVE
Practice Address - Street 2:STE 102
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1689
Practice Address - Country:US
Practice Address - Phone:630-588-1201
Practice Address - Fax:630-588-1209
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL180007741101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health