Provider Demographics
NPI:1588320501
Name:YACKUBOSKEY, JAMES JR (MSCP, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:YACKUBOSKEY
Suffix:JR
Gender:M
Credentials:MSCP, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 E MCMURRAY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3440
Mailing Address - Country:US
Mailing Address - Phone:724-260-6117
Mailing Address - Fax:
Practice Address - Street 1:608 E MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3440
Practice Address - Country:US
Practice Address - Phone:724-260-6117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-14
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013791101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty