Young, Lisa

Young, Lisa is an sole proprietor health care provider with primary practice located at 3050 Beacon Blvd , West Sacramento CA 95691-3467. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Young, Lisa can be contacted via phone (916) 462-3155.

Contact Information

Primary practice address
3050 Beacon Blvd West Sacramento CA 95691-3467
Phone: (916) 462-3155
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 94094 California

Profile Details

NPI number 1538630694
LBN Legal business name Young, Lisa
Credentials ASW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Jul 24th, 2023 - about 3 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 1538630694 NPPES
California MEDICAID 1041C0700X

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