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General NPI Number Information
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NPI Number | 1134304827
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Entity Type | Individual
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Provider Name | DARYLE R YOUNT LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/01/2008
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 705 MOUNTAIN RANCH RD. SUITES 103-105
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City | SAN ANDREAS
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State | CA
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Zip | 95249
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Country | US
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Telephone | 209-754-6525
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Fax | 209-754-6534
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Provider Business Mailing Address
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Address Line | 891 MOUNTAIN RANCH RD
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City | SAN ANDREAS
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State | CA
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Zip | 95249-9713
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Country | US
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Telephone | 209-754-6525
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Fax | 209-754-6534
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 150765
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License Number State | CA
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