Provider Demographics
NPI:1629479555
Name:LINAREZ, JESENIA (LCPC)
Entity type:Individual
Prefix:
First Name:JESENIA
Middle Name:
Last Name:LINAREZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W BOUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1892
Mailing Address - Country:US
Mailing Address - Phone:773-895-0883
Mailing Address - Fax:
Practice Address - Street 1:440 W BOUGHTON RD STE D
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2392
Practice Address - Country:US
Practice Address - Phone:773-895-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009237101YP2500X
IL180009237101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional