| Doctor Name: | MS. YVONNE MARIE ITO |
| NPI Number: | 1376708784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 6750 Mission Rd. Everson, WA - 98247 |
| Business Phone Number: | 3609667704 |
| Business Fax Number: | 3609664225 |
| Mailing Address: | Po Box 157, DEMING |
| State: | WA |
| Postal Code: | 98244 |
| Phone Number: | 3609667704 |
| Fax Number: | 3609664225 |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 02/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |