Yonkoski, Stacey Lynn

Yonkoski, Stacey Lynn is an individual health care provider with primary practice located at 1500 W Market St Suite 200, Mequon WI 53092-5098. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Yonkoski, Stacey Lynn can be contacted via phone (262) 241-6127.

Contact Information

Primary practice address
1500 W Market St Suite 200 Mequon WI 53092-5098
Phone: (262) 241-6127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2101 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6578-123 Wisconsin

Profile Details

NPI number 1053464289
LBN Legal business name Yonkoski, Stacey Lynn
Credentials MSW, LCSW, CADCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1053464289 NPPES
Wisconsin MEDICAID 39712900

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