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Individual

EAN VINCENZO YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT, CEAP, NCC

Contact information

Practice address
600 JEFFERSON ST, SUITE 902, LAFAYETTE, LA 70501-6942
(337) 993-0000
(337) 354-2410
Mailing address
104 OLIVE VISTA DR, SCOTT, LA 70583-5655
(337) 501-1255

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2817
LA
106H00000X
Marriage & Family Therapist
236
LA

Other

Enumeration date
05/23/2006
Last updated
05/05/2009
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