Provider Demographics
NPI:1174418834
Name:YANEZ, KATHIA MARCELA (LPC)
Entity type:Individual
Prefix:
First Name:KATHIA
Middle Name:MARCELA
Last Name:YANEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHIA
Other - Middle Name:MARCELA
Other - Last Name:SALAZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 N COUNTRY CLUB RD STE 104
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-2845
Mailing Address - Country:US
Mailing Address - Phone:520-305-9735
Mailing Address - Fax:
Practice Address - Street 1:2101 N COUNTRY CLUB RD STE 104
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2845
Practice Address - Country:US
Practice Address - Phone:520-305-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health