Individual
CHASITY M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
705 W 13TH ST, ATOKA, OK 74525-3712
(580) 889-5555
(580) 889-1925
Mailing address
PO BOX 2207, ADA, OK 74821-2207
(580) 421-5328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040
—
OK
Enumeration date
05/22/2012
Last updated
05/22/2012
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