Individual
ANGELA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E NEW YORK AVE STE BC, DELAND, FL 32724-5568
(386) 738-5543
Mailing address
PO BOX 4112, ORMOND BEACH, FL 32175-4112
(386) 235-7255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10894
FL
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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