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General NPI Number Information
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NPI Number | 1386950095
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Entity Type | Individual
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Provider Name | SHERILYN MICHELE YOUNG LPCC, MCA, CSC
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Gender | Male
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 1180 A GRAND AVE
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City | ARROYO GRANDE
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State | CA
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Zip | 93420
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Country | US
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Telephone | 805-458-6776
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Fax | 805-354-1552
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Provider Business Mailing Address
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Address Line | 1543 SEABRIGHT AVE
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City | GROVER BEACH
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State | CA
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Zip | 93433
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Country | US
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Telephone | 805-458-6776
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Fax | 805-354-1552
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 60651
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC207
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFTI60651
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | YO412151234
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC207
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License Number State | CA
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