Individual
MR. ANTHONY LEE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
16-759 WAO KELE ST., KURTISTOWN, HI 96760-0711
(808) 936-4382
Mailing address
PO BOX 711, KURTISTOWN, HI 96760-0711
(808) 936-4382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1657-11
HI
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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