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Individual

KATHERINE YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LCMHC

Contact information

Practice address
12058 SAN JOSE BLVD STE 703, JACKSONVILLE, FL 32223-8668
(904) 260-0454
Mailing address
PO BOX 2314, GARNER, NC 27529-2314

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13122
NC
101YP2500X
Professional Counselor
Primary
19928
FL

Other

Enumeration date
11/01/2019
Last updated
03/01/2024
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