Provider Demographics
NPI:1427189208
Name:TERHUNE-YOUNG, MARILYN JEAN (MFT, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:JEAN
Last Name:TERHUNE-YOUNG
Suffix:
Gender:F
Credentials:MFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-5114
Mailing Address - Country:US
Mailing Address - Phone:530-277-7314
Mailing Address - Fax:530-889-9898
Practice Address - Street 1:146 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5114
Practice Address - Country:US
Practice Address - Phone:530-277-7314
Practice Address - Fax:530-889-9898
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist