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NPI Code Detail

MEDICARE: TERRI YENDREK LPC

MEDICARE: TERRI YENDREK LPC
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
1101YP2500XProfessional CounselorC-0006888OH

General Provider Information

NPI Number : 1699866525
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI YENDREK LPC
Provider Business Mailing Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Provider Business Practice Location Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/30/2013

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Directions to “ TERRI YENDREK LPC” Practice Location

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