Provider Demographics
NPI:1760712632
Name:YASBEK, KELLEY (LMFT)
Entity type:Individual
Prefix:
First Name:KELLEY
Middle Name:
Last Name:YASBEK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KELLEY
Other - Middle Name:
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29162 LATIGO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SILVERADO
Mailing Address - State:CA
Mailing Address - Zip Code:92676-9630
Mailing Address - Country:US
Mailing Address - Phone:949-338-0908
Mailing Address - Fax:
Practice Address - Street 1:19712 MACARTHUR BLVD STE 110
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2407
Practice Address - Country:US
Practice Address - Phone:949-338-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist