| Doctor Name: | MR. MARK R YOUNG |
| NPI Number: | 1114002631 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSSW, LMSW, LCSW |
| License Number: | 466-123 |
| Business Practice Address: | 427 S. Stephenson Ave., 2nd Floor Iron Mountain, MI - 49801 |
| Business Phone Number: | 9067764357 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1012, IRON MOUNTAIN |
| State: | MI |
| Postal Code: | 498018012 |
| Phone Number: | 9067764357 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 11/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 466-123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |