Individual
MANDY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 HYMEADOW DR STE 1F, AUSTIN, TX 78750-1831
(512) 775-2767
Mailing address
513 KODIAK TRL, CEDAR PARK, TX 78613-4109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74467
TX
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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