Loretta L Young, LISAC
Counselor, Addiction (Substance Use Disorder) in Mesa, AZ. Individual provider (NPI-1).
NPI number1477214799
StatusActive
Last updated in NPPESJan 11, 2022
Details
- NPI
- 1477214799
- Entity type
- Individual (NPI-1)
- Name
- Ms. Loretta L Young
- Credential
- LISAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2022
- Certification date
- Jan 11, 2022
- Last updated
- Jan 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 15215 | AZ | Yes |
Practice location
1362 S Vineyard Apt 2108Mesa, AZ 85210-8972
Phone 832-491-4382
Mailing address
Po Box 38453Phoenix, AZ 85069-8453
Phone 832-491-4382
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All 100 Addiction (Substance Use Disorder) Counselor providers in Mesa · All 13,507 providers in Mesa
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