Jenna Yates, | |
3233 Mathers Rd Ste A, Springfield, IL 62711-7900 | |
(217) 899-5412 | |
Not Available |
Full Name | Jenna Yates |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 3233 Mathers Rd Ste A, Springfield, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013412931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.011471 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071.009981 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jenna Yates, 3233 Mathers Rd Ste A, Springfield, IL 62711-7900 Ph: (217) 414-2064 | Jenna Yates, 3233 Mathers Rd Ste A, Springfield, IL 62711-7900 Ph: (217) 899-5412 |
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