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NPI Code Detail

MEDICARE: SARAH YOUNG

MEDICARE: SARAH YOUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1184211716
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH YOUNG
Provider Business Mailing Address
First Line : 1195 MODESTO AVE
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-4504
Country : US
Telephone Number : 805-805-8322
Fax Number :
Provider Business Practice Location Address
First Line : 751 E DAILY DR STE 320
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0772
Country : US
Telephone Number : 805-366-4323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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Directions to “ SARAH YOUNG ” Practice Location

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