Individual
JOHN YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10176 CORPORATE SQUARE DR STE 100S, SAINT LOUIS, MO 63132-2924
(636) 486-7174
Mailing address
16 TRAILRIDGE CT, SAINT CHARLES, MO 63301-3231
(314) 479-1836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
04/02/2019
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