Individual
DARRYL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
804 HALTER DR SW, ALBUQUERQUE, NM 87121-8923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0079111
NM
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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