Diane Marie Young in North Haven - Addiction (substance Use Disorder)

Diane Marie Young - NPI 1194935940

Diane Marie Young is a Addiction (substance Use Disorder) in North Haven, Connecticut. Diane Marie Young practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Diane Marie Young is 1194935940. The last update date is 2022-01-24.

Diane Marie Young's current location address is 352 State St, North Haven, Connecticut. You can contact this provider via phone number 2037814600 and fax number 2037814624. The mailing address for Diane Marie Young is 352 State St, North Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Marie Young
Address 352 State St, North Haven, Connecticut
Phone Number 2037814600
Fax Number 2037814624
Sole Proprietor N
Credentials LCSW, LADC

NPI Number Detail

NPI Number 1194935940
Provider Enumeration Date 2007-05-23
Last Updated Date 2022-01-24

Provider Mailing Address Detail

Address 352 State St
City North Haven
State Connecticut (CT)
Post Code 64733108
Phone Number 2037814600
Fax Number 2037814624

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 542
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
300000542CT01 CT ANTHEM BCBS
22672 CT VMC AFFILIATE
500000315 CT --
140005227CT01 CT ANTHEM BCBS
303733 CT MHN
4082286 CT --
8022626 CT --
476270000 CT MAGELLAN
513954 CT VALUE OPTIONS
7944589 CT AETNA

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FAQs about Diane Marie Young

What is the Diane Marie Young's unique identification number?

The Diane Marie Young has been assigned the NPI (National Provider Identifier) Number 1194935940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Diane Marie Young's facilities are geographically located?

The facilities of Diane Marie Young are physically situated at the following location: 352 State St, North Haven, CT, 64733108.

What is Diane Marie Young's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Diane Marie Young is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194935940 to Diane Marie Young?

The Diane Marie Young received its 1194935940 assignment from the Centers for Medicare & Medicaid Services on 2007-05-23.

As of what date were the details related to Diane Marie Young most recently updated or revised?

The information pertaining to Diane Marie Young, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-24.

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