Stephanie Yates, LCPC

NPI #1003319781 in Rockford, Illinois

Provider Information

NPI Number: 1003319781
Entity Type: Individual
Name: Stephanie Yates, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCPC
Enumeration Date: Mar 9, 2018
Last Updated: Jun 15, 2022

Practice Location

Address: 6072 BRYNWOOD DR STE 107
City: Rockford
State: Illinois
ZIP Code: 61114-5829
Phone: (815) 846-0684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Professional — Professional	101YP2500X

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