Provider Demographics
NPI:1104234327
Name:RESTO, YOHANA ANDREA (MS)
Entity type:Individual
Prefix:MRS
First Name:YOHANA
Middle Name:ANDREA
Last Name:RESTO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:YOHANA
Other - Middle Name:ANDREA
Other - Last Name:BELTRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1421 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-2618
Mailing Address - Country:US
Mailing Address - Phone:239-850-9628
Mailing Address - Fax:
Practice Address - Street 1:3850 E STATE ROAD 64
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-9040
Practice Address - Country:US
Practice Address - Phone:941-748-2697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health