Provider Demographics
NPI:1861645236
Name:YACOE & KRIMM INC
Entity type:Organization
Organization Name:YACOE & KRIMM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JONI
Authorized Official - Middle Name:N
Authorized Official - Last Name:YACOE
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:707-287-0367
Mailing Address - Street 1:PO BOX 2844
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-0284
Mailing Address - Country:US
Mailing Address - Phone:707-287-0367
Mailing Address - Fax:707-226-8011
Practice Address - Street 1:832 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2828
Practice Address - Country:US
Practice Address - Phone:707-287-0367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14838106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty