Individual
TIERRA YONKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N4590 HWY 45, EDEN, WI 53019-1212
(920) 904-6445
(920) 477-3777
Mailing address
N4590 HWY 45, EDEN, WI 53019-1212
(920) 904-6445
(920) 477-3777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16047-132
WI
1041C0700X
Clinical Social Worker
13122-121
WI
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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