Provider Demographics
NPI:1700941101
Name:YACKER, PATRICIA JEANNE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JEANNE
Last Name:YACKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 S MAPLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-1166
Mailing Address - Country:US
Mailing Address - Phone:509-747-4715
Mailing Address - Fax:
Practice Address - Street 1:1638 S MAPLE BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-1166
Practice Address - Country:US
Practice Address - Phone:509-747-4715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH0005392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health