Individual
WILLIE MAE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, CCGC
Contact information
Practice address
222 W NORTH ST, OPELOUSAS, LA 70570-5244
(337) 845-4752
(337) 942-6575
Mailing address
222 W NORTH ST, OPELOUSAS, LA 70570-5244
(337) 845-4752
(337) 942-6575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
122
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
143
LA
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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