Individual
DELISA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2248 NW 164TH ST, EDMOND, OK 73013-8801
(405) 605-2663
Mailing address
3517 NW 164TH TER, EDMOND, OK 73013-9471
(405) 605-2663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
05/28/2021
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