Provider Demographics
NPI:1043881436
Name:YACOPETTI, ANNE MARIE (MA, LMHCA)
Entity Type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:YACOPETTI
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:YACOPETTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHCA
Mailing Address - Street 1:PO BOX 99101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98139-0101
Mailing Address - Country:US
Mailing Address - Phone:917-836-7991
Mailing Address - Fax:
Practice Address - Street 1:3272 FUHRMAN AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4190
Practice Address - Country:US
Practice Address - Phone:917-836-7991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health