Individual
FERUZA YUVAKAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
825 SPRINGDALE DR, EXTON, PA 19341
(866) 678-7616
Mailing address
1804 HARBOUR RIDGE LANE, DOWNINGTOWN, PA 19335
(347) 393-4150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC008413
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC008413
PA
101YM0800X
Mental Health Counselor
PC008413
PA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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