Individual
CATHERINE YANKUSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
575 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2818
(575) 449-4000
(575) 449-4021
Mailing address
2701 E YANDELL DR, EL PASO, TX 79903-3726
(915) 562-1999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-10084
NM
104100000X
Social Worker
X-09983
NM
1041C0700X
Clinical Social Worker
Primary
C-11123
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08679541
—
NM
Enumeration date
03/27/2017
Last updated
09/29/2022
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