MEDICARE: ROBYN YOST

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	251S00000X	Community/Behavioral Health Agency	LPC 11316	AZ

General Provider Information

NPI Number	:	1447437801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBYN YOST

Provider Business Mailing Address
First Line	:	4982 STEINKE DR
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86409-1066
Country	:	US
Telephone Number	:	928-377-9599
Fax Number	:	928-757-3388

Provider Business Practice Location Address
First Line	:	1751 STOCKTON HILL RD
Second Line	:	SUITE B
City	:	KINGMAN
State	:	AZ
Zip	:	86401-6601
Country	:	US
Telephone Number	:	928-377-9599
Fax Number	:	928-757-3388

Authorized Official
Title or Position	:	OWNER, PROFESSIONAL COUNSELOR
Name	:	MISS ROBYN K YOST
Credential	:	MA, LPC, NCC
Telephone Number	:	928-377-9599

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	10/03/2011

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