Provider Demographics
NPI:1649475609
Name:ALFANO, YVELISE CAROLINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:YVELISE
Middle Name:CAROLINE
Last Name:ALFANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AM FAHRENBUEHL 7
Mailing Address - Street 2:
Mailing Address - City:KINDSBACH
Mailing Address - State:GERMANY
Mailing Address - Zip Code:66862
Mailing Address - Country:DE
Mailing Address - Phone:4963-711-7739
Mailing Address - Fax:
Practice Address - Street 1:AM FAHRENBUEHL 7
Practice Address - Street 2:
Practice Address - City:KINDSBACH
Practice Address - State:GERMANY
Practice Address - Zip Code:66862
Practice Address - Country:DE
Practice Address - Phone:4963-711-7739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR17536101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist