Provider Demographics
NPI:1437377025
Name:YASIN, RONALD R
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:R
Last Name:YASIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ELDRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-2124
Mailing Address - Country:US
Mailing Address - Phone:510-638-1255
Mailing Address - Fax:
Practice Address - Street 1:34 ELDRIDGE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-2124
Practice Address - Country:US
Practice Address - Phone:510-638-1255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor