Provider Demographics
NPI:1831315654
Name:YEOMANS, JILL DUNLOP (MFT)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:DUNLOP
Last Name:YEOMANS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 GARDEN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-1466
Mailing Address - Country:US
Mailing Address - Phone:805-963-5727
Mailing Address - Fax:805-963-5727
Practice Address - Street 1:1018 GARDEN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-1466
Practice Address - Country:US
Practice Address - Phone:805-963-5727
Practice Address - Fax:805-963-5727
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28828106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist