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Individual

DEJOUR J YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 968-7006
Mailing address
4697 HARRISON ST, BELLAIRE, OH 43906-1303
(740) 968-7006

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OH
104100000X
Social Worker
Primary
S.2513200
OH
171M00000X
Case Manager/Care Coordinator
OH

Other

Enumeration date
06/09/2020
Last updated
01/19/2026
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