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MARIANNE YOUNG

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1083902019

Individual Registrant:
 MARIANNE  YOUNG 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
204 EAST CHENA WAY  TOK, AK 99780 US
Tel: 907-883-5185  Fax: 907-459-3925

Contact information for business:
PO BOX 121  TOK, AK 99780-0121 US
Tel: 907-883-5185  Fax: 907-459-3925

Registration Information:
NPI: 1083902019
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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