Provider Demographics
NPI:1336360684
Name:YEKEL, JOAN M
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:M
Last Name:YEKEL
Suffix:
Gender:F
Credentials:
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 1299
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-1299
Mailing Address - Country:US
Mailing Address - Phone:308-430-4610
Mailing Address - Fax:308-747-2147
Practice Address - Street 1:104 W 3RD ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2314
Practice Address - Country:US
Practice Address - Phone:308-430-4610
Practice Address - Fax:308-747-2147
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1336360684OtherNPI FOR INDIVIDUAL
NE10025477200Medicaid