Organization
BARBARA J YEAST
Active
Other names
Adult Counseling & Child Guidance Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JEAN YEASTS MSMFT (CLINIC DIRECTOR)
(715) 842-3913
Entity
Organization
Contact information
Practice address
301 E KENT ST, WAUSAU, WI 54403
(715) 842-3913
(715) 842-0092
Mailing address
PO BOX 615, WAUSAU, WI 54402-0615
(715) 842-3913
(715) 842-0092
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21824
SECURITY HEALTH PLAN
WI
05
—
42209600
—
WI
Enumeration date
11/13/2006
Last updated
08/22/2020
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