Lisa R Young | Los Alamitos, CA • PECOS Search

Lisa R Young

Marriage & Family Therapist

Behavioral Health & Social Service Providers

11110 Los Alamitos Blvd Ste 213, Los Alamitos, CA 90720-3602

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa R Young does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1427296425
Provider Type
Individual
Full Name
Young, Lisa R
Title
Ms.
Credential
M.A., MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/29/2009
Last Updated
1/29/2009

Contact Information

Practice Location

11110 Los Alamitos Blvd Ste 213, Los Alamitos, CA 90720-3602

Unlisted Fax

Mailing Location

11110 Los Alamitos Blvd Ste 213, Los Alamitos, CA 90720-3602

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC43214 California