Individual
DONNA YELVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT, PC-TL
Contact information
Practice address
4550 W BRADLEY ROAD, GLENDALE, WI 53223
(414) 371-1600
(414) 371-2400
Mailing address
PO BOX 240542, MILWAUKEE, WI 53224-9017
(920) 905-0922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16704-130
WI
101YM0800X
Mental Health Counselor
1610-226
WI
101YP2500X
Professional Counselor
1610-226
WI
Other
Enumeration date
09/27/2012
Last updated
03/20/2015
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