Individual
CANDICE DAWN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10948-B N. MAY AVE, OKLAHOMA CITY, OK 73120-4318
(405) 751-8966
Mailing address
212 MIDWAY DR, NORMAN, OK 73072-4318
(405) 443-9230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
08/15/2012
Last updated
09/07/2012
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