Laurie Yates, LCPC

NPI #1073882619 in Chubbuck, Idaho

Provider Information

NPI Number
1073882619
Entity Type
Individual
Name
Laurie Yates, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LCPC
Enumeration Date
Dec 28, 2011
Last Updated
Dec 28, 2011

Practice Location

Address
4650 HAWTHORNE RD
Address 2
STE 3B
State
Idaho
ZIP Code
83202-2376
Phone
(208) 238-2120

Specialties & Taxonomy Codes

Specialty
Counselor

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