Individual
ANN YACOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-4943
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
(209) 725-3676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1710512
CA
Other
Enumeration date
11/27/2013
Last updated
07/06/2022
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