| Jamie M Young Lmft | |
|
505 Larkspur Ave Corona Del Mar CA 92625-2317 | |
| (949) 735-7678 | |
| Not Available |
| Full Name | Jamie M Young Lmft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 505 Larkspur Ave, Corona Del Mar, California |
| Authorized Official Name and Position | Jamie Young (OWNER) |
| Authorized Official Contact | 9497357678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie M Young Lmft 505 Larkspur Ave Corona Del Mar CA 92625-2317 Ph: () - | Jamie M Young Lmft 505 Larkspur Ave Corona Del Mar CA 92625-2317 Ph: (949) 735-7678 |
| NPI Number | 1174143861 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174143861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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