Individual
MS. BARBARA YANTZ JEREB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1510 W FAIRMONT ST, SUITE D, LONGVIEW, TX 75604-6320
(903) 234-2990
(903) 234-1752
Mailing address
1510 W FAIRMONT ST, SUITE D, LONGVIEW, TX 75604-6320
(903) 234-2990
(903) 234-1752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148834
VALUE OPTIONS
TX
01
—
2042LC
BLUECROSS/BLUESHIELD
TX
Enumeration date
06/24/2006
Last updated
07/08/2007
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