Individual
MR. DENNIS JAMES YASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2084 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200
Mailing address
2084 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
258597
KY
101YM0800X
Mental Health Counselor
258597
KY
1041C0700X
Clinical Social Worker
Primary
258597
KY
Other
Enumeration date
11/16/2023
Last updated
03/25/2024
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