| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VICTORIA YOUNG JUNIOR | 1750980215 | 2020-10-25 |
Victoria Young Junior is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750980215. Registration indicates Victoria Young Junior is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Victoria Young Junior PHD |
| Practice Office Address | 9418 W LAKE MEAD BLVD LAS VEGAS, NV US |
| Practice Office Telephone | 7028496700 |
| Mailing Address | 9418 W LAKE MEAD BLVD LAS VEGAS, NV 891348312 US |
| Business Telephone | 7028496700 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | CP2963-R
NV |
| NV20201884164 | MEDICAID | NV |