Doctor Name: | GEORGE YOUNG |
NPI Number: | 1952718892 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHP |
License Number: | 10266 |
Business Practice Address: | 301 E 1st St Mc Cook, NE - 690013746 |
Business Phone Number: | 3083454880 |
Business Fax Number: | 3089959399 |
Mailing Address: | 13 Gemini Ct, MC COOK |
State: | NE |
Postal Code: | 690013400 |
Phone Number: | 3083451710 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2014 |
NPI Last Update Date: | 07/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 10266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |