Doctor Name: | MS. JANE E. ALTHOFF |
NPI Number: | 1023125754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 814 N Mill St Unit 5 Mchenry, IL - 600505336 |
Business Phone Number: | 8153856004 |
Business Fax Number: | 8153856062 |
Mailing Address: | 814 N Mill St, Unit 5 MCHENRY |
State: | IL |
Postal Code: | 600505336 |
Phone Number: | 8153856004 |
Fax Number: | 8153856062 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |