Provider Demographics
NPI:1215289475
Name:YARBROUGH, LINDSEY (MA)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:OROSI
Mailing Address - State:CA
Mailing Address - Zip Code:93647-0591
Mailing Address - Country:US
Mailing Address - Phone:559-725-1660
Mailing Address - Fax:
Practice Address - Street 1:VIRTUAL
Practice Address - Street 2:
Practice Address - City:OROSI
Practice Address - State:CA
Practice Address - Zip Code:93647
Practice Address - Country:US
Practice Address - Phone:559-725-1660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT#86367106H00000X
CAIMF 71430106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist