Individual
YOLANDA IVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSMHC
Contact information
Practice address
1843 R W BERENDS DR SW, WYOMING, MI 49519-4955
(786) 333-6881
Mailing address
1843 R W BERENDS DR SW, WYOMING, MI 49519-4955
(786) 333-6881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962
—
MI
Enumeration date
01/08/2020
Last updated
01/08/2020
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