Provider Demographics
NPI:1760425672
Name:YOKOTA, TOLAND SKIP (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:TOLAND
Middle Name:SKIP
Last Name:YOKOTA
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 BONFOY AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-3802
Mailing Address - Country:US
Mailing Address - Phone:719-475-8230
Mailing Address - Fax:719-227-0129
Practice Address - Street 1:1015 BONFOY AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-3802
Practice Address - Country:US
Practice Address - Phone:719-475-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2010-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9924121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical