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Individual
RANDALL YOUNG
Active
Individual
RANDALL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001948A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000867644
ANTHEM BCBS
IN
Enumeration date
03/27/2008
Last updated
05/20/2014
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