Anderson Young, Stacey L.

Anderson Young, Stacey L. is an individual health care provider with primary practice located at 918 15Th St , Modesto CA 95354-1115. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Anderson Young, Stacey L. can be contacted via phone (209) 727-2646.

Contact Information

Primary practice address
918 15Th St Modesto CA 95354-1115
Phone: (209) 727-2646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1851419592
LBN Legal business name Anderson Young, Stacey L.
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Apr 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851419592 NPPES
California Other 51993 BOARD OF BEHAVIORAL SCIENCES

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