Organization
AZ YOUNG CHILD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA RABAGO YOUNG LCSW (OWNER, THERAPIST)
(480) 269-1562
Entity
Organization
Contact information
Practice address
18001 N 79TH AVE STE C50, GLENDALE, AZ 85308-8394
(480) 269-1562
(623) 328-9539
Mailing address
18001 N 79TH AVE STE C50, GLENDALE, AZ 85308-8394
(480) 269-1562
(623) 328-9539
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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