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Individual

PATRICK WHITING YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, CAC-II

Contact information

Practice address
725 MAIN ST, CARBONDALE, CO 81623-1936
(970) 704-9292
Mailing address
PO BOX 969, CARBONDALE, CO 81623-0969

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007847
CO

Other

Enumeration date
03/09/2018
Last updated
03/09/2018
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