| Emilio A Yonta Lcsw Phd | |
|
4319 So Ridgewood Ave Port Orange FL 32127 | |
| (386) 756-2405 | |
| (386) 756-7518 |
| Full Name | Emilio A Yonta Lcsw Phd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4319 So Ridgewood Ave, Port Orange, Florida |
| Authorized Official Name and Position | Emilio A Yonta (PSYCHOTHERAPIST DIRECTOR) |
| Authorized Official Contact | 3867562405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emilio A Yonta Lcsw Phd 4319 So Ridgewood Ave Port Orange FL 32127 Ph: (386) 756-2405 | Emilio A Yonta Lcsw Phd 4319 So Ridgewood Ave Port Orange FL 32127 Ph: (386) 756-2405 |
| NPI Number | 1285791764 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285791764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 720 (Florida) | Primary |
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