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Individual
JOHN YOUNG
Active
Individual
JOHN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1205
TX
1041C0700X
Clinical Social Worker
Primary
621
TX
106H00000X
Marriage & Family Therapist
322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640948-01
—
TX
Enumeration date
06/24/2006
Last updated
10/21/2010
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