Individual
KENYETTA YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18220 ROSETTA AVE, EASTPOINTE, MI 48021-2632
(313) 629-4314
Mailing address
18220 ROSETTA AVE, EASTPOINTE, MI 48021-2632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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