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General NPI Number Information
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NPI Number | 1609357755
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Entity Type | Organization
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Legal Business Name | YOUNG SERVICES LLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 43537 RIDGE PARK DR
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City | TEMECULA
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State | CA
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Zip | 92590-3615
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Country | US
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Telephone | 951-394-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 43537 RIDGE PARK DR
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City | TEMECULA
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State | CA
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Zip | 92590-3615
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Country | US
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Telephone | 623-202-8810
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEMAR YOUNG
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Credential |
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Telephone | 951-394-1940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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