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Individual
MADONNA YANCEY
Active
Individual
MADONNA YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC-I, BCPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
101YM0800X
Mental Health Counselor
—
TX
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
69680
TX
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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