Individual
MRS. TIFFANY LEE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
430 E LASALLE AVE, SOUTH BEND, IN 46617-2724
(574) 229-2404
Mailing address
601 SMITH ST, MISHAWAKA, IN 46544-4864
(574) 229-2404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
35002040A
IN
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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