Individual
MACKIE YAUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2201 SE 25TH ST, TOPEKA, KS 66605-1734
(785) 267-0561
(785) 267-0573
Mailing address
130 E 5TH ST, PO BOX 711, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
067
KS
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106710 S
—
KS
Enumeration date
06/13/2014
Last updated
11/13/2018
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