| Doctor Name: | MR. ANTHONY LEE YATES |
| NPI Number: | 1962835165 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSAC |
| License Number: | 1657-11 |
| Business Practice Address: | 16-759 Wao Kele St. Kurtistown, HI - 967600711 |
| Business Phone Number: | 8089364382 |
| Business Fax Number: | |
| Mailing Address: | Po Box 711, KURTISTOWN |
| State: | HI |
| Postal Code: | 967600711 |
| Phone Number: | 8089364382 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2013 |
| NPI Last Update Date: | 08/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1657-11 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |