Individual
ANNA KRYSTYNA YEACKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
964 CHORRO ST, SAN LUIS OBISPO, CA 93401-3202
(805) 801-2835
Mailing address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 805-6175
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
46501
CA
Other
Enumeration date
02/28/2007
Last updated
04/24/2024
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