Doctor Name: | MRS. PATTY L YULE |
NPI Number: | 1932446622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | LPCC #177 |
Business Practice Address: | 11344 Coloma Rd. Suite 250 Gold River, CA - 95670 |
Business Phone Number: | 9165085507 |
Business Fax Number: | |
Mailing Address: | 8313 Mercer Way, FAIR OAKS |
State: | CA |
Postal Code: | 956282712 |
Phone Number: | 9169655507 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2013 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPCC #177 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |