Individual provider · Type 1 NPI

Secret Young, MFTI

Mental Health Counselor · Long Beach, CA

NPI number 1457698474 Active

Practice location

490 W 14th St
Long Beach, CA 90813-2943

Call (562) 591-8701 Map

Fax (562) 591-0235

Mailing address

138 Elm Ave Apt 22
Long Beach, CA 90802-4925

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X71903 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1457698474

Secret Young, MFTI's National Provider Identifier is 1457698474, issued on Jan 10, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Beach, CA. The record was last updated on Jan 10, 2013.