Individual
CLIFTON YOUNG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CDC II
Contact information
Practice address
701 E PARKS HWY STE 203, WASILLA, AK 99654-8162
(907) 795-3860
Mailing address
701 E PARKS HWY STE 203, WASILLA, AK 99654-8162
(907) 795-3860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
04/16/2018
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