| Doctor Name: | GEORGE YANSICK |
| NPI Number: | 1942342407 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BA CADC |
| License Number: | 37CA00020200 |
| Business Practice Address: | 9 Harding Highway Pittsgrove, NJ - 08318 |
| Business Phone Number: | 8563584111 |
| Business Fax Number: | 8563584120 |
| Mailing Address: | 3844 Pine Street, WILLIAMSTOWN |
| State: | NJ |
| Postal Code: | 08094 |
| Phone Number: | 8562629022 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37CA00020200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |