SearchCalifornia101YA0400X

Michael Young, SUDCC

NPI 1659778629 · on the registry since 2014

Practice

Address
1212 N California St
Stockton, CA 95202
Phone
(209) 468-8842
Organisation at this address
Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
844

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2023-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California