Individual
MRS. LEANNE MARIE HASENFUS YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, EDS, LPC
Contact information
Practice address
700 WALTER REED DR, GREENSBORO, NC 27403-1128
(336) 832-9800
Mailing address
700 WALTER REED DR, GREENSBORO, NC 27403-1128
(336) 832-9800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5161
NC
101YM0800X
Mental Health Counselor
5161
NC
101YP2500X
Professional Counselor
5161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103141
—
NC
Enumeration date
12/11/2006
Last updated
12/18/2009
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