Provider Demographics
NPI:1366589129
Name:YARNELL, DENNIS HOWARD (MA MFT)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:HOWARD
Last Name:YARNELL
Suffix:
Gender:M
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-3202
Mailing Address - Country:US
Mailing Address - Phone:707-569-9663
Mailing Address - Fax:707-544-6837
Practice Address - Street 1:1815 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-3202
Practice Address - Country:US
Practice Address - Phone:707-569-9663
Practice Address - Fax:707-544-6837
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor