MEDICARE: STEVE YAHN AMFT/APCC

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1619603784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE YAHN AMFT/APCC

Provider Business Mailing Address
First Line	:	2351 SUNSET BLVD STE 170-883
Second Line	:
City	:	ROCKLIN
State	:	CA
Zip	:	95765-4338
Country	:	US
Telephone Number	:	916-827-4754
Fax Number	:

Provider Business Practice Location Address
First Line	:	2351 SUNSET BLVD STE 170-883
Second Line	:
City	:	ROCKLIN
State	:	CA
Zip	:	95765-4338
Country	:	US
Telephone Number	:	916-827-4754
Fax Number	:

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

Provider Enumeration Date	:	07/29/2022
Last Update Date	:	07/29/2022

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