Individual
MS. LORETTA L YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
1362 S VINEYARD APT 2108, MESA, AZ 85210-8972
(832) 491-4382
Mailing address
PO BOX 38453, PHOENIX, AZ 85069-8453
(832) 491-4382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15215
AZ
Other
Enumeration date
01/08/2022
Last updated
01/11/2022
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