| Doctor Name: | MRS. KENDRA ALICE YAKOVLEFF |
| NPI Number: | 1215369061 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ADDICTION COUSELOR |
| License Number: | 101YA0400X |
| Business Practice Address: | 254 Plainfield Rd West Lebanon, NH - 037842001 |
| Business Phone Number: | 6032982146 |
| Business Fax Number: | |
| Mailing Address: | 28 Elm St, CHARLESTOWN |
| State: | NH |
| Postal Code: | 036035006 |
| Phone Number: | 6038263704 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2013 |
| NPI Last Update Date: | 08/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 101YA0400X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |