Provider Demographics
NPI:1083200315
Name:YACKUBOSKEY, MARIAH FAITH (MSCP, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:FAITH
Last Name:YACKUBOSKEY
Suffix:
Gender:F
Credentials:MSCP, LPC, NCC
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCP, LPC, NCC
Mailing Address - Street 1:5000 MCKNIGHT RD STE 202
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3420
Mailing Address - Country:US
Mailing Address - Phone:412-366-8342
Mailing Address - Fax:412-366-8346
Practice Address - Street 1:1018 PERALTA ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5002
Practice Address - Country:US
Practice Address - Phone:412-366-8342
Practice Address - Fax:412-366-8346
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC12632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health