Miranda Young
Counselor, Mental Health in Oakland, CA. Individual provider (NPI-1).
NPI number1952829111
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1952829111
- Entity type
- Individual (NPI-1)
- Name
- Miranda Young
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2017
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 9952 | CA | Yes |
Practice location
1128 Chester St # 1Oakland, CA 94607-1955
Phone 541-778-3317
Mailing address
1128 Chester St # 1Oakland, CA 94607-1955
Phone 541-778-3317
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