MEDICARE: MARIA YOUNG LCSW

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
1	101YM0800X	Mental Health Counselor	7584-C	NV
2	1041C0700X	Clinical Social Worker	7584-C	NV

General Provider Information

NPI Number	:	1801105804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA YOUNG LCSW

Provider Business Mailing Address
First Line	:	321 S ARLINGTON AVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-2001
Country	:	US
Telephone Number	:	775-525-0062
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 S ARLINGTON AVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-2001
Country	:	US
Telephone Number	:	775-525-0062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2010
Last Update Date	:	09/06/2021

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Directions to “ MARIA YOUNG LCSW” Practice Location

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