Individual
AMY E YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
380 LONGVIEW DR, PADUCAH, KY 42001-5971
(270) 816-2495
Mailing address
380 LONGVIEW DR, PADUCAH, KY 42001-5971
(270) 816-2495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1124
KY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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