Provider Demographics
NPI:1942910476
Name:YONG, MALIA DANIELLE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:MALIA
Middle Name:DANIELLE
Last Name:YONG
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 VIA ALHAMBRA UNIT N
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-4535
Mailing Address - Country:US
Mailing Address - Phone:949-293-6389
Mailing Address - Fax:
Practice Address - Street 1:682 VIA ALHAMBRA UNIT N
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-4535
Practice Address - Country:US
Practice Address - Phone:949-293-6389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA131539101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health