Individual
MISS ATSIE ANTONIA YASUTAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., P.P.S.
Contact information
Practice address
831 EAST ARROW HWY, POMONA, CA 91767
(909) 398-4383
(909) 398-0127
Mailing address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 398-4383
(909) 398-0127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
59795
CA
Other
Enumeration date
05/10/2011
Last updated
03/19/2014
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