Organization Name: | JANEEN M SAMARTNO |
NPI Number: | 1053444042 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANEEN MARIE SMARTNO (LICENSED CLINICAL PROF COUNSELOR) |
Mailing Address: | 1655 N Arlington Hts Rd Suite 303e Arlington Hts |
State: | IL US |
Postal Code: | 60004 |
Phone Number: | 8476383700 |
Fax Number: | 8476706075 |
NPI Enumeration Date: | 03/13/2007 |
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: |