| Doctor Name: | MRS. CAROL MARIE YOUNG |
| NPI Number: | 1043338403 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., P.C. |
| License Number: | |
| Business Practice Address: | 788 Lexington Ave Mansfield, OH - 449071921 |
| Business Phone Number: | 4195710125 |
| Business Fax Number: | 4197569913 |
| Mailing Address: | 788 Lexington Ave, MANSFIELD |
| State: | OH |
| Postal Code: | 449071921 |
| Phone Number: | 4195710125 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |