| Doctor Name: | MRS. ORENZA LETIZIA JASKE |
| NPI Number: | 1285826412 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCPC |
| License Number: | 26805 |
| Business Practice Address: | 600 Spring Hill Ring Rd Suite 105 West Dundee, IL - 601187300 |
| Business Phone Number: | 8473389076 |
| Business Fax Number: | 8474264219 |
| Mailing Address: | 1008 E Glavin Ct Apt 4, PALATINE |
| State: | IL |
| Postal Code: | 600742204 |
| Phone Number: | 8473389076 |
| Fax Number: | 8474264219 |
| NPI Enumeration Date: | 08/12/2007 |
| NPI Last Update Date: | 09/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 26805 |
| 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: | |