Individual
JOHNNA YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
508 W MCKAY ST, CARLSBAD, NM 88220-5067
(575) 302-7035
Mailing address
1016 ALBERT ST, CARLSBAD, NM 88220-4528
(575) 636-2468
(575) 218-7534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11219
NM
Other
Enumeration date
04/11/2017
Last updated
10/27/2021
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