Provider Demographics
NPI:1760830657
Name:YARMOLYUK, BIANCA (ASSOCIATE MFT)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:YARMOLYUK
Suffix:
Gender:F
Credentials:ASSOCIATE MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SUNSET BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5482
Mailing Address - Country:US
Mailing Address - Phone:916-784-6499
Mailing Address - Fax:
Practice Address - Street 1:1000 SUNSET BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5482
Practice Address - Country:US
Practice Address - Phone:916-784-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130208106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist