Individual provider · Type 1 NPI
Loretta L. Young, LISAC
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1477214799
Active
Practice location
1362 S Vineyard Apt 2108
Mesa, AZ 85210-8972
Mailing address
PO Box 38453
Phoenix, AZ 85069-8453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15215 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1477214799
Loretta L. Young, LISAC's National Provider Identifier is 1477214799, issued on Jan 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Jan 11, 2022.