Stephanie Yates
Professional Counselor Addiction Counselor (Substance Use Disorder)
433 Phelps Ave Ste 2
Rockford
, Illinois 61108-2442
Stephanie Yates
Professional Counselor Addiction Counselor (Substance Use Disorder)
433 Phelps Ave Ste 2
Rockford
, Illinois 61108-2442
(815) 200-7640
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Professional Counselor
Languages spoken
- English
Location
First Address
- Stephanie Yates
- 433 Phelps Ave Ste 2
- Rockford, IL
- Zip : 61108-2442
- Phone : (815) 200-7640
Second Address
- Stephanie Yates
- 433 Phelps Ave Ste 2
- Rockford, IL
- Zip : 61108-2442
- Phone : (815) 200-7640
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 18457-130 | WI |
| Y | 101YP2500X | Professional Counselor | 178.013882 | IL |
| N | 101YP2500X | Professional Counselor | 180.013193 | IL |
| N | 101YP2500X | Professional Counselor | 3859-226 | WI |
National Provider Identifier
| NPI | 1003319781 |
|---|---|
| Provider Name | Stephanie Yates |
| First Address | Rockford, IL 61108-2442 |
| Second Address | Rockford, IL 61108-2442 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2018 |
| Last Update Date | 08/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.