Individual
ERICA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MPA
Contact information
Practice address
10640 N 28TH DR STE C101, PHOENIX, AZ 85029-2993
(602) 435-1974
Mailing address
10640 N 28TH DR STE C101, PHOENIX, AZ 85029-2993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578734778
—
AZ
Enumeration date
09/25/2017
Last updated
09/25/2017
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