Kim Marie Baughan Young MFT

NPI 1194945022 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1194945022
Gender Female
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12454 THE PLAZA
CLEARLAKE OAKS CA, 95423-0773, US
Phone (707) 350-3590
Fax (707) 998-9121
Business Location
PO BOX 773
CLEARLAKE OAKS CA, 95423-0773, US
Phone (707) 350-3590
Fax (707) 998-9121
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 35203
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According to our database, Ms. Kim Marie Baughan Young MFT NPI is 1194945022, taxonomy code is 106H00000X and license number is 35203, license state is located at California. Kim Marie Baughan Young MFT physically located at 12454 The Plaza, Clearlake Oaks CA, 95423-0773. NPI Number Kim Marie Baughan Young MFT has the Individual type.

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1194945022 NPI number is provided on an as is basis without warranty of any kind. 1194945022 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Marie Baughan Young MFT are for informational purposes only.