Provider Demographics
NPI:1912651555
Name:YEE, ELENA TERESA (NCC, CCMHC)
Entity Type:Individual
Prefix:MS
First Name:ELENA
Middle Name:TERESA
Last Name:YEE
Suffix:
Gender:F
Credentials:NCC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 SOUTH CLOVER STREET APT 3
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:805-455-6615
Mailing Address - Fax:
Practice Address - Street 1:61 S CLOVER ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-2991
Practice Address - Country:US
Practice Address - Phone:805-455-6615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011880-001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health