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Claude Young III
Addiction (Substance Use Disorder) Counselor in Vallejo, California
NPI 1841811031

Claude Young III is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Claude Young III practices in Vallejo, CA. The NPI Number for Claude Young III is 1841811031 and holds a License No. R1240141216 (California).

The current practice location address for Claude Young III is 627 Grant St, Vallejo, CA and can be reached out via phone at 707-553-1042.

Location: 627 Grant St, Vallejo, CA, 94590-7228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841811031
Provider Name
Claude Young III
Credential
Provider Entity Type
Individual
Gender
Male
Address
627 Grant St, Vallejo, CA, 94590-7228
Phone Number
707-553-1042
Fax Number
Provider Enumeration Date
04/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67574 05 CA
ZGP830392378 01 TX BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
627 Grant St
City
Vallejo
State
California
Zip
94590-7228
Phone Number
707-553-1042
Fax Number
person
Provider Business Mailing Address Details
Address
627 Grant St
City
Vallejo
State
California
Zip
94590-7228
Phone Number
707-553-1042
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1240141216 (California)
Definition
Definition to come...
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