Individual
MRS. YASHIKA TIARA FOMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
216 E 15TH ST, ANNISTON, AL 36207-3804
(256) 591-7758
Mailing address
1503 CAMELLIA CIR NE, JACKSONVILLE, AL 36265-9603
(256) 591-7558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701015135
VA
101YP2500X
Professional Counselor
Primary
LPC04498
AL
Other
Enumeration date
11/23/2021
Last updated
09/05/2025
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