Individual
MR. BRADLEY DAVID YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
50 KENDALL AVE, RUTLAND, VT 05701-3117
(802) 353-3421
Mailing address
50 KENDALL AVE, RUTLAND, VT 05701
(802) 353-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0056573
VT
Other
Enumeration date
04/08/2010
Last updated
07/21/2022
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