Individual
CASEY ALDEN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8451 GATE PKWY W APT 610, JACKSONVILLE, FL 32216-4112
(904) 765-0665
Mailing address
8451 GATE PKWY W APT 610, JACKSONVILLE, FL 32216-4112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23389
FL
Other
Enumeration date
02/11/2019
Last updated
05/09/2024
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