Provider Demographics
NPI:1306321997
Name:MYONG, JOY (MS, LPC, CADC)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:MYONG
Suffix:
Gender:F
Credentials:MS, LPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 NAPERVILLE WHEATON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1559
Mailing Address - Country:US
Mailing Address - Phone:630-276-7922
Mailing Address - Fax:630-872-2288
Practice Address - Street 1:1555 NAPERVILLE WHEATON RD STE 201
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1558
Practice Address - Country:US
Practice Address - Phone:630-276-7922
Practice Address - Fax:630-228-8139
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178009734101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health