Provider Demographics
NPI:1962894261
Name:YOZAMP, CAROLE JAYNE (MS LPCC)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:JAYNE
Last Name:YOZAMP
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Gender:F
Credentials:MS LPCC
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Mailing Address - Street 1:166 19TH STREET SOUTH #201
Mailing Address - Street 2:ST CLOUD HOSPITAL BEHAVIORAL HEALTH SARTELL
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-4654
Mailing Address - Country:US
Mailing Address - Phone:320-656-7047
Mailing Address - Fax:320-200-3222
Practice Address - Street 1:166 19TH STREET SOUTH #201
Practice Address - Street 2:ST CLOUD HOSPITAL BEHAVIORAL HEALTH SARTELL
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-4654
Practice Address - Country:US
Practice Address - Phone:320-656-7047
Practice Address - Fax:320-200-3222
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2017-03-02
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Provider Licenses
StateLicense IDTaxonomies
MNCC00728101YP2500X
MN728101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional