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NPI Code Detail

MEDICARE: MRS. SONIA MICHELLE YOUNG B.A CM-A

MEDICARE: MRS. SONIA MICHELLE YOUNG B.A CM-A
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 : 1710997846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONIA MICHELLE YOUNG B.A CM-A
Provider Business Mailing Address
First Line : 2701 HEATHER HILL CT APT 1012
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-3425
Country : US
Telephone Number : 918-508-1507
Fax Number :
Provider Business Practice Location Address
First Line : 8915 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-1717
Country : US
Telephone Number : 214-352-3490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 03/15/2023

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