MEDICARE: YVETTE ALLIVATO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1215451562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVETTE ALLIVATO LMFT

Provider Business Mailing Address
First Line	:	1041 ASHFORD DR
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-0262
Country	:	US
Telephone Number	:	831-673-3873
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 W MAIN ST STE G
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95380-4845
Country	:	US
Telephone Number	:	831-673-3873
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2017
Last Update Date	:	04/24/2024

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Directions to “ YVETTE ALLIVATO LMFT” Practice Location

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