Doctor Name: | POOJA JOSHI |
NPI Number: | 1184978132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC, NCC |
License Number: | 178008074 |
Business Practice Address: | 13728 W Carefree Dr Homer Glen, IL - 604918655 |
Business Phone Number: | 7082779619 |
Business Fax Number: | 8668619447 |
Mailing Address: | 17114 S 71st Ave, Unit 9 TINLEY PARK |
State: | IL |
Postal Code: | 60477 |
Phone Number: | 8152589442 |
Fax Number: | 8668619447 |
NPI Enumeration Date: | 10/30/2012 |
NPI Last Update Date: | 01/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178008074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |