Provider Demographics
NPI:1790845626
Name:YANG, TOU B
Entity Type:Individual
Prefix:
First Name:TOU
Middle Name:B
Last Name:YANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TOU
Other - Middle Name:B
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4447 E. KINGS CANYON ROAD
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702-1519
Mailing Address - Country:US
Mailing Address - Phone:559-600-4680
Mailing Address - Fax:559-600-4665
Practice Address - Street 1:4441 E KINGS CANYON RD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-3604
Practice Address - Country:US
Practice Address - Phone:559-600-4680
Practice Address - Fax:559-600-4665
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor