Provider Demographics
NPI:1851502793
Name:MCLOUGHLIN, YVONNE MARIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:MARIE
Last Name:MCLOUGHLIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 577284
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357-7284
Mailing Address - Country:US
Mailing Address - Phone:209-606-2320
Mailing Address - Fax:209-572-3110
Practice Address - Street 1:2020 COFFEE RD
Practice Address - Street 2:SUITE H-4
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2427
Practice Address - Country:US
Practice Address - Phone:209-567-1291
Practice Address - Fax:209-572-3110
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist