| Doctor Name: | DR. YOLANDA GRADO QUEVEDO |
| NPI Number: | 1689826679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LMHC |
| License Number: | LH 00006081 |
| Business Practice Address: | 17400 Reservation Rd La Conner, WA - 982578801 |
| Business Phone Number: | 3604667265 |
| Business Fax Number: | 3604665528 |
| Mailing Address: | Po Box 683, LA CONNER |
| State: | WA |
| Postal Code: | 982570683 |
| Phone Number: | 3604667265 |
| Fax Number: | 3604665528 |
| NPI Enumeration Date: | 10/21/2008 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH 00006081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |