| Doctor Name: | DIANE M BAILEY YODER |
| NPI Number: | 1063833796 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 178.009447 |
| Business Practice Address: | 1800 Hollister Dr Suite 201 Libertyville, IL - 600485263 |
| Business Phone Number: | 8475491189 |
| Business Fax Number: | |
| Mailing Address: | 25663 W Brooks Farm Rd, ROUND LAKE |
| State: | IL |
| Postal Code: | 600735250 |
| Phone Number: | 8473222975 |
| Fax Number: | |
| NPI Enumeration Date: | 12/24/2013 |
| NPI Last Update Date: | 12/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178.009447 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |