| Doctor Name: | YOUNGSOOK JENNIFER SIM |
| NPI Number: | 1093849978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 17253 |
| Business Practice Address: | 34930 N Highway 45 Lake Villa, IL - 600467537 |
| Business Phone Number: | 8476685310 |
| Business Fax Number: | |
| Mailing Address: | 327 W Winding Trail Cir, ROUND LAKE |
| State: | IL |
| Postal Code: | 600734252 |
| Phone Number: | 8476685310 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 09/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 17253 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |