Yanke, Forrest Stewart

Yanke, Forrest Stewart is an sole proprietor health care provider with primary practice located at 1103 Fortune Ave , Panama City FL 32401-1831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Yanke, Forrest Stewart can be contacted via phone (850) 769-6188.

Contact Information

Primary practice address
1103 Fortune Ave Panama City FL 32401-1831
Phone: (850) 769-6188
Fax: (850) 769-1261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW368 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT216 Florida

Profile Details

NPI number 1346304177
LBN Legal business name Yanke, Forrest Stewart
Credentials LMFT, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346304177 NPPES
Florida Other Z1199 BLUE CROSS BLUE SHIELD

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