Individual
MISTY YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 MOULTON ST E, DECATUR, AL 35601-3002
(256) 542-1482
Mailing address
432 MOULTON ST E, DECATUR, AL 35601-3002
(256) 542-1482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4006A
AL
Other
Enumeration date
02/27/2022
Last updated
02/28/2022
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