Provider Demographics
NPI:1477758258
Name:YATES, PLUEMCHIT LENA (MFTI)
Entity Type:Individual
Prefix:MRS
First Name:PLUEMCHIT
Middle Name:LENA
Last Name:YATES
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:MS
Other - First Name:PLUEMCHIT
Other - Middle Name:LENA
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2036 MARYVALE WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-2415
Mailing Address - Country:US
Mailing Address - Phone:916-704-5228
Mailing Address - Fax:
Practice Address - Street 1:8801 FOLSOM BLVD STE 210
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-3249
Practice Address - Country:US
Practice Address - Phone:916-388-6342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52683106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist