| Doctor Name: | MR. JONATHAN YOUMANS |
| NPI Number: | 1528430469 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., LPCA, LCASA |
| License Number: | LCAS-22448 |
| Business Practice Address: | 45 Atherton Dr Youngsville, NC - 275968000 |
| Business Phone Number: | 9196091321 |
| Business Fax Number: | |
| Mailing Address: | 45 Atherton Dr, YOUNGSVILLE |
| State: | NC |
| Postal Code: | 275968000 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2015 |
| NPI Last Update Date: | 02/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCAS-22448 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |