Michelle Young, LMFT
Counselor, Mental Health in Kelseyville, CA. Individual provider (NPI-1).
NPI number1154774370
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1154774370
- Entity type
- Individual (NPI-1)
- Name
- Michelle Young
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2016
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 102798 | CA | Yes |
Practice location
9677 Fairway DrKelseyville, CA 95451-9568
Phone 209-312-0782
Mailing address
9677 Fairway DrKelseyville, CA 95451-9568
Phone 209-312-0782
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