Provider Demographics
NPI:1184928780
Name:YATO, JUNE Y (MA)
Entity type:Individual
Prefix:MISS
First Name:JUNE
Middle Name:Y
Last Name:YATO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1391 S JONES BLVD
Mailing Address - Street 2:BLDG 1300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1200
Mailing Address - Country:US
Mailing Address - Phone:702-425-2627
Mailing Address - Fax:702-425-2628
Practice Address - Street 1:1391 S JONES BLVD
Practice Address - Street 2:BLDG 1300
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-1200
Practice Address - Country:US
Practice Address - Phone:702-425-2627
Practice Address - Fax:702-425-2628
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness