Provider Demographics
NPI:1679503221
Name:YOUNGER, SHARYN ANN (LPC)
Entity type:Individual
Prefix:
First Name:SHARYN
Middle Name:ANN
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHARYN
Other - Middle Name:ANN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:16625 S 28TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-8505
Mailing Address - Country:US
Mailing Address - Phone:480-540-0052
Mailing Address - Fax:480-722-2817
Practice Address - Street 1:2480 W RAY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3558
Practice Address - Country:US
Practice Address - Phone:480-540-0052
Practice Address - Fax:480-722-2817
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1698101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist