| Doctor Name: | MRS. MITZI HEDRICK YOUNG |
| NPI Number: | 1013906197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW169 |
| Business Practice Address: | 503 Remington St Ste 104 Ft Collins, CO - 805243074 |
| Business Phone Number: | 9702189902 |
| Business Fax Number: | |
| Mailing Address: | 503 Remington St, Ste 104 FT COLLINS |
| State: | CO |
| Postal Code: | 805243074 |
| Phone Number: | 9702189902 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW169 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |