Provider Demographics
NPI:1639349731
Name:TERHUNE-YOUNG, RASAL BRIAN (LMFT)
Entity Type:Individual
Prefix:MR
First Name:RASAL
Middle Name:BRIAN
Last Name:TERHUNE-YOUNG
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:BRIAN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
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:916-804-7925
Mailing Address - Fax:530-477-0329
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:916-804-7925
Practice Address - Fax:530-477-0329
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 31747106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist