Provider Demographics
NPI:1164849584
Name:YOUNG, JULIA (MA, LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MA, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24803 MAGIC MOUNTAIN PKWY APT 1911
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1481
Mailing Address - Country:US
Mailing Address - Phone:661-977-6381
Mailing Address - Fax:
Practice Address - Street 1:25000 AVENUE STANFORD STE 98
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4593
Practice Address - Country:US
Practice Address - Phone:661-977-6381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CALPCC3942101YP2500X
CALMFT97288106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional