| Young Headwaters | |
|
224 W Dryden St Apt 209 Glendale CA 91202-3739 | |
| (818) 208-1774 | |
| Not Available |
| Full Name | Young Headwaters |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 224 W Dryden St Apt 209, Glendale, California |
| Authorized Official Name and Position | Ann M Young (OWNER) |
| Authorized Official Contact | 8182081774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Headwaters 213 N Glendale Ave # 1024 Glendale CA 91206-4455 Ph: (818) 208-1774 | Young Headwaters 224 W Dryden St Apt 209 Glendale CA 91202-3739 Ph: (818) 208-1774 |
| NPI Number | 1356261788 |
|---|---|
| Provider Enumeration Date | 07/16/2026 |
| Last Update Date | 07/16/2026 |
| Certification Date | 07/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356261788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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