| Jonathan Yoder Pllc | |
|
4414 Lafayette Blvd Ste 236 Fredericksburg VA 22408-4271 | |
| (540) 418-7966 | |
| (540) 779-8028 |
| Full Name | Jonathan Yoder Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4414 Lafayette Blvd Ste 236, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jonathan Yoder (OWNER) |
| Authorized Official Contact | 5404187966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Yoder Pllc 4414 Lafayette Blvd Ste 236 Fredericksburg VA 22408-4271 Ph: (540) 418-7966 | Jonathan Yoder Pllc 4414 Lafayette Blvd Ste 236 Fredericksburg VA 22408-4271 Ph: (540) 418-7966 |
| NPI Number | 1023797172 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023797172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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