Detra Young
Marriage & Family Therapist in Ventura, CA. Individual provider (NPI-1).
NPI number1578741237
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1578741237
- Entity type
- Individual (NPI-1)
- Name
- Detra Young
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2008
- Certification date
- Jun 15, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 100407 | CA | Yes |
Practice location
260 Maple Ct Ste 205Ventura, CA 93003-9134
Phone 805-419-0318
Mailing address
4660 Mission Oaks BlvdCamarillo, CA 93012-5132
Phone 805-834-1393
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All 469 Marriage & Family Therapist providers in Ventura · All 5,428 providers in Ventura
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