Doctor Name: | DANA MICHELLE YOUNG |
NPI Number: | 1639589955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1030 Ash Ave Comanche, OK - 735292636 |
Business Phone Number: | 5804392933 |
Business Fax Number: | |
Mailing Address: | Rr 1 Box 1203, COMANCHE |
State: | OK |
Postal Code: | 735299446 |
Phone Number: | 5806063911 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |