Doctor Name: | KENDRA LASHAY YOUNG |
NPI Number: | 1124469119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. ALC |
License Number: | C2137A |
Business Practice Address: | 45454 Al Hwy 9 Cedar Bluff, AL - 359590164 |
Business Phone Number: | 2567062533 |
Business Fax Number: | |
Mailing Address: | Po Box 164, CEDAR BLUFF |
State: | AL |
Postal Code: | 359590164 |
Phone Number: | 2567062533 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C2137A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |