| Doctor Name: | MARK YOUNG |
| NPI Number: | 1275662645 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 19201 |
| Business Practice Address: | 650 Cr 4650 Mt. Pleasant, TX - 75455 |
| Business Phone Number: | 9039185073 |
| Business Fax Number: | 9036452532 |
| Mailing Address: | 713 County Road 2110, DAINGERFIELD |
| State: | TX |
| Postal Code: | 756384409 |
| Phone Number: | 9039185073 |
| Fax Number: | 9032856898 |
| NPI Enumeration Date: | 03/03/2007 |
| NPI Last Update Date: | 06/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 19201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |