Individual
LISA YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
240 WATERFALL DR, ELKHART, IN 46516-3668
(574) 301-7300
(574) 301-7303
Mailing address
240 WATERFALL DR, ELKHART, IN 46516-3668
(574) 301-7300
(574) 301-7303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001647A
IN
Other
Enumeration date
05/19/2021
Last updated
02/04/2022
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