| Organization Name: | DR. MARK CONDRON YOUNG |
| NPI Number: | 1063427870 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK CONDRON YOUNG (SOLE PROPRIETOR) |
| Mailing Address: | 111 Kilson Dr. Suite 205 Mooresville |
| State: | NC US |
| Postal Code: | 28117 |
| Phone Number: | 7047990105 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |