Individual
CHAD YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
155 N WATER ST, KENT, OH 44240-2418
(330) 677-7047
Mailing address
PO BOX 332, KENT, OH 44240-0006
(419) 290-8589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0700402
OH
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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