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Individual

RYAN JAMES YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CRC

Contact information

Practice address
3101 LATHAM DR, MADISON, WI 53713-4613
(608) 286-1132
Mailing address
3101 LATHAM DR, MADISON, WI 53713-4613
(608) 286-1132

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00277523
WI

Other

Enumeration date
07/08/2021
Last updated
02/28/2025
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