Young, Brian Galen

Young, Brian Galen is an sole proprietor health care provider with primary practice located at 3240 S Trotter Ln , Flagstaff AZ 86005-9146. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Young, Brian Galen can be contacted via phone (928) 853-9939.

Contact Information

Primary practice address
3240 S Trotter Ln Flagstaff AZ 86005-9146
Phone: (928) 853-9939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-15729 Arizona

Profile Details

NPI number 1275258196
LBN Legal business name Young, Brian Galen
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 4 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 1275258196 NPPES
Arizona MEDICAID 2GH1-XF2-DX13

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