| Victoria F. Young, Llc | |
|
16 E 13th St Lawrence KS 66044-3502 | |
| (541) 222-0185 | |
| Not Available |
| Full Name | Victoria F. Young, Llc |
|---|---|
| Speciality | Counselor |
| Location | 16 E 13th St, Lawrence, Kansas |
| Authorized Official Name and Position | Victoria Faye Young (OWNER) |
| Authorized Official Contact | 5412220185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria F. Young, Llc Po Box 12574 Overland Park KS 66282-2574 Ph: (541) 222-0185 | Victoria F. Young, Llc 16 E 13th St Lawrence KS 66044-3502 Ph: (541) 222-0185 |
| NPI Number | 1043822539 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Medicare PECOS PAC ID | 9830516095 |
|---|---|
| Medicare Enrollment ID | O20200902001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043822539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Victoria F Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487800769 PECOS PAC ID: 2567519341 Enrollment ID: I20200902001499 |
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