Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 180.007830 | IL |
NPI | 1003106485 |
---|---|
Provider Name | Thomas W Yokoyama |
First Address | Skokie, IL 60077-2545 |
Second Address | Skokie, IL 60077-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 19/04/2011 |