Provider Demographics
NPI:1841052768
Name:PATTERSON, JANELLE LUCIA (LMFT)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:LUCIA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:LUCIA
Other - Last Name:MALONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1346 W GEORGE ST UNIT T
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6624
Mailing Address - Country:US
Mailing Address - Phone:920-655-0597
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 1105
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3747
Practice Address - Country:US
Practice Address - Phone:312-241-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166001708106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist