Provider Demographics
NPI:1235281932
Name:YOUNG, SHARON YVONNE (PHD, LMFT)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:YVONNE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4227 S MERIDIAN # C-576
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3603
Mailing Address - Country:US
Mailing Address - Phone:253-831-5178
Mailing Address - Fax:253-446-7137
Practice Address - Street 1:11803 101ST AVE CTE E STE 100
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3473
Practice Address - Country:US
Practice Address - Phone:253-881-1428
Practice Address - Fax:253-446-7137
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist