Healthcare Provider Details

I. General information

NPI: 1396200291
Provider Name (Legal Business Name): JOSELYN ARANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 10/10/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SHERMAN AVE
EVANSTON IL
60202-1703
US

IV. Provider business mailing address

9811 LAWRENCE CT APT 1D
SCHILLER PARK IL
60176-1319
US

V. Phone/Fax

Practice location:
  • Phone: 847-475-0390
  • Fax:
Mailing address:
  • Phone: 847-977-6247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.018249
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number22-490
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: