Provider Demographics
NPI:1952010472
Name:LOEW, YAAKOV (MA LPC)
Entity Type:Individual
Prefix:MR
First Name:YAAKOV
Middle Name:
Last Name:LOEW
Suffix:
Gender:M
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SKOKIE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4031
Mailing Address - Country:US
Mailing Address - Phone:773-573-9860
Mailing Address - Fax:
Practice Address - Street 1:900 SKOKIE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4031
Practice Address - Country:US
Practice Address - Phone:773-573-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178014004101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor