Individual
MR. JOE MICHAEL YOUNG SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1932 S GARLAND AVE, FAYETTEVILLE, AR 72701-6841
(479) 521-9902
(479) 521-9902
Mailing address
PO BOX 9717, FAYETTEVILLE, AR 72703-0031
(479) 521-9902
(479) 521-9902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P9508020
AR
106H00000X
Marriage & Family Therapist
M9802013
AR
Other
Enumeration date
01/03/2007
Last updated
08/06/2020
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