Individual
MRS. YANEISHA GRAHAM LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2842 45TH ST STE A, HIGHLAND, IN 46322-2986
(219) 228-8799
(815) 725-1284
Mailing address
2842 45TH ST STE A, HIGHLAND, IN 46322-2986
(219) 228-8799
(815) 725-1284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002289A
IN
101YM0800X
Mental Health Counselor
85477
TX
101YP2500X
Professional Counselor
Primary
180.008040
IL
Other
Enumeration date
01/24/2012
Last updated
09/30/2021
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