Healthcare Provider Details

I. General information

NPI: 1982179529
Provider Name (Legal Business Name): YAHAIRA TORUNO MS, CRC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YAHAIRA TORUNO MS, CRC, LCPC

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 05/23/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 W SUPERIOR ST FL 3
CHICAGO IL
60622-5646
US

IV. Provider business mailing address

728 N MORGAN ST APT 210
CHICAGO IL
60642-6577
US

V. Phone/Fax

Practice location:
  • Phone: 773-677-6689
  • Fax: 312-432-4354
Mailing address:
  • Phone: 773-677-6689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180011757
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number180011757
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: