Basic Information
| Provider Information | |||||||||
| NPI: | 1619295151 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCKINSEY | ||||||||
| FirstName: | YOLANDA | ||||||||
| MiddleName: | LONI | ||||||||
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| Credential: | CADC-CAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 S. GREEN ST | ||||||||
| Address2: | |||||||||
| City: | SONORA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953704618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2095336245 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 105 HOSPITAL ROAD | ||||||||
| Address2: | |||||||||
| City: | SONORA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953705227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2095336245 | ||||||||
| FaxNumber: | 2094680525 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2010 | ||||||||
| LastUpdateDate: | 12/21/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YA0400X | C11401214 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.