Individual
MINDY JO YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2621
(270) 769-1304
Mailing address
22536 STATE ROUTE 613, OAKWOOD, OH 45873-9521
(419) 594-3667
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
09/18/2024
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