Individual
KAYLEE MICHELE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 OAKBROOK CT APT 11, BLOOMINGTON, IL 61704-6418
(231) 622-3117
Mailing address
2100 5TH ST, LINCOLN, IL 62656-9115
(217) 732-3771
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
NA
IL
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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