NPI 1003186818

Edgar T. Young, CADCIICASII

Practitioner Addiction (Substance Use Disorder) Counselor Fremont, CA

Practice location

Address: 4219 Tiburon Dr, Fremont, CA 94555-3261
Phone: (510) 794-7262

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in California →

Registry record

NPI: 1003186818
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2012
Record last updated: 10 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.