Most Relevant Information
Provider Data
| NPI Number: | 1003412685 |
| Provider Name: | ANDREW WILLIAM YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2020 |
| Last Updated: | 12/08/2020 |
Provider Practice Location
1271 JEFFERSON AVE APT A
CLOVIS
CA
936122002
Practice Location Phone/Fax
| Phone: | 5595798052 |
| Fax: |
Provider Mailing Location
1271 JEFFERSON AVE APT A
CLOVIS
CA
936122002
Provider Mailing Phone/Fax
| Phone: | 5595798052 |
| Fax: |