Provider Demographics
NPI:1316364748
Name:DUVAL-YONNETTI, ANASTASIA (MA, EDM, LMHC)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:DUVAL-YONNETTI
Suffix:
Gender:F
Credentials:MA, EDM, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 W CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5937
Mailing Address - Country:US
Mailing Address - Phone:617-309-7245
Mailing Address - Fax:
Practice Address - Street 1:15 LUCAS AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3707
Practice Address - Country:US
Practice Address - Phone:617-309-7245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health