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NPI Code Detail

MEDICARE: MRS. EUGENIA ROSE YELEN MMFT

MEDICARE:  MRS. EUGENIA ROSE YELEN  MMFT
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
1106H00000XMarriage & Family TherapistTN

General Provider Information

NPI Number : 1811527070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EUGENIA ROSE YELEN MMFT
Provider Business Mailing Address
First Line : 203 HARNETT CT
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-1966
Country : US
Telephone Number : 615-438-3615
Fax Number : 931-443-0079
Provider Business Practice Location Address
First Line : 2031 N MOUNT JULIET RD STE 201
Second Line :
City : MT JULIET
State : TN
Zip : 37122-3316
Country : US
Telephone Number : 615-438-3615
Fax Number : 931-443-0079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2020
Last Update Date : 01/16/2020

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Directions to “ MRS. EUGENIA ROSE YELEN MMFT” Practice Location

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