Provider Demographics
NPI:1356035927
Name:YOUNG, REBECCA VOKER
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:VOKER
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4612 ANGUSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3159
Mailing Address - Country:US
Mailing Address - Phone:240-481-4481
Mailing Address - Fax:
Practice Address - Street 1:4612 ANGUSHIRE CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3159
Practice Address - Country:US
Practice Address - Phone:240-481-4481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)