Doctor Name: | WHITNEY YOUNG |
NPI Number: | 1205294360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 137 Howard St Eagle, CO - 81631 |
Business Phone Number: | 9703286969 |
Business Fax Number: | |
Mailing Address: | 715 Horizon Dr, Suite 225 GRAND JUNCTION |
State: | CO |
Postal Code: | 815068700 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/04/2016 |
NPI Last Update Date: | 02/04/2016 |
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: |