person
Delores Dianne Young, LISAC
Addiction (Substance Use Disorder) Counselor in Surprise, Arizona
NPI 1891937116

Delores Dianne Young is an Addiction (Substance Use Disorder) Counselor based in Wickenburg, AZ and is specialized in Addiction (Substance Use Disorder). Delores Dianne Young practices in Surprise, AZ and has the professional credentials of LISAC. The NPI Number for Delores Dianne Young is 1891937116 and holds a License No. 11359 (Arizona).

The current practice location address for Delores Dianne Young is 15270 W Brookside Ln, Surprise, AZ and can be reached out via phone at 928-231-1032.

Location: 15270 W Brookside Ln, Surprise, AZ, 85390
person
Provider Profile Details
NPI Number
1891937116
Provider Name
Delores Dianne Young
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
15270 W Brookside Ln, Surprise, AZ, 85390
Phone Number
928-231-1032
Fax Number
Provider Enumeration Date
04/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 AZ COUNSELOR-ADDICTIONS
institution
Provider Business Practice Location Address Details
Address
15270 W Brookside Ln
City
State
Zip
85374
Phone Number
928-231-1032
Fax Number
person
Provider Business Mailing Address Details
Address
15270 W Brookside Ln
City
State
Zip
85374
Phone Number
928-231-1032
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11359 (Arizona)
Definition
Definition to come...
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