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Organization

DR. MARK CONDRON YOUNG

Active
Other names
Wellhaven Pastoral Counseling & Psychotherapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK CONDRON YOUNG PH.D. (SOLE PROPRIETOR)
(704) 799-0105
Entity
Organization

Contact information

Practice address
111 KILSON DR., SUITE 205, MOORESVILLE, NC 28117
(704) 799-0105
Mailing address
279 FLANDERS DR., MOORESVILLE, NC 28117-4125
(980) 297-0752

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5255
NC

Other

Enumeration date
07/30/2006
Last updated
08/22/2020
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