Provider Demographics
NPI:1932846185
Name:YENTZER, INES ANDREA (MA)
Entity Type:Individual
Prefix:
First Name:INES
Middle Name:ANDREA
Last Name:YENTZER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4561 E CAMINO DE CANCUN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3536
Mailing Address - Country:US
Mailing Address - Phone:520-358-1092
Mailing Address - Fax:
Practice Address - Street 1:450 E NAVAJO RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-3939
Practice Address - Country:US
Practice Address - Phone:520-358-1092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor