| Doctor Name: | DR. JOHN LAFAYETTE YOUNG |
| NPI Number: | 1184849960 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMIN LCPC LCADC PROF |
| License Number: | LCA350 |
| Business Practice Address: | 3527 Rolling Rd Suite 23 Windsor Mill, MD - 212442073 |
| Business Phone Number: | 4109220830 |
| Business Fax Number: | 4109220232 |
| Mailing Address: | 4 Six Point Court, WINDSOR MILL |
| State: | MD |
| Postal Code: | 212442073 |
| Phone Number: | 4109220830 |
| Fax Number: | 4109220232 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCA350 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |