Doctor Name: | JOHN YOUNG |
NPI Number: | 1437100294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 00798 |
Business Practice Address: | 302 Ne 14th St Leon, IA - 50144 |
Business Phone Number: | 6414462383 |
Business Fax Number: | 6414462382 |
Mailing Address: | 302 Ne 14th St, LEON |
State: | IA |
Postal Code: | 50144 |
Phone Number: | 6414462383 |
Fax Number: | 6414462382 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 00798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |