Individual
JEFFREY YOCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 BRECKENRIDGE LN STE 114, LOUISVILLE, KY 40207-3868
(502) 653-7211
(502) 416-0723
Mailing address
2011 LAUDERDALE RD, LOUISVILLE, KY 40205-1529
(502) 417-5514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4094
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710035120
—
KY
Enumeration date
06/12/2013
Last updated
11/06/2023
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