Individual
MR. MARK ALAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
496 LONGFELLOW AVE, KIRKWOOD, MO 63122-3829
(314) 540-3526
Mailing address
496 LONGFELLOW AVE, KIRKWOOD, MO 63122-3829
(314) 540-3526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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