Provider Demographics
NPI:1396218848
Name:YEE, PRESTON YUN
Entity type:Individual
Prefix:
First Name:PRESTON
Middle Name:YUN
Last Name:YEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 WESTLAKE CTR STE 204
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1437
Mailing Address - Country:US
Mailing Address - Phone:415-579-1638
Mailing Address - Fax:
Practice Address - Street 1:318 WESTLAKE CTR STE 204
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1437
Practice Address - Country:US
Practice Address - Phone:415-579-1638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135279106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist