Doctor Name: | MS. BONNIE C YATES |
NPI Number: | 1376520031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC RN MAC CRADC |
License Number: | |
Business Practice Address: | 217 W Main St West Dundee, IL - 601182018 |
Business Phone Number: | 8475511217 |
Business Fax Number: | 8475519692 |
Mailing Address: | 217 W Main St, WEST DUNDEE |
State: | IL |
Postal Code: | 601182018 |
Phone Number: | 8475511217 |
Fax Number: | 8475519692 |
NPI Enumeration Date: | 12/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |