Doctor Name: | DELONTA YOUNG |
NPI Number: | 1154757722 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3324 Curtis Dr T1 Suitland, MD - 207462658 |
Business Phone Number: | 2022929419 |
Business Fax Number: | |
Mailing Address: | 3324 Curtis Dr., #t1 SUITLAND |
State: | MD |
Postal Code: | 20746 |
Phone Number: | 2022929419 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2013 |
NPI Last Update Date: | 09/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |