Individual provider · Type 1 NPI

Stacy L. Young, L.C.S.W.

Mental Health Counselor · Portland, OR

NPI number 1215068523 Active

Practice location

10373 NE Hancock St Ste 220
Portland, OR 97220-3873

Call (503) 490-9288 Map

Fax (503) 762-0536

Mailing address

PO Box 66553
Portland, OR 97290-6553

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XL2708 (OR)

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About NPI 1215068523

Stacy L. Young, L.C.S.W.'s National Provider Identifier is 1215068523, issued on Mar 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.