Organization
YOUNG CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL J. YOUNG LMHC (OWNER AND COUNSELOR)
(317) 360-5641
Entity
Organization
Contact information
Practice address
412 S MAPLE ST STE 103, FORTVILLE, IN 46040-1681
(317) 360-5641
Mailing address
412 S MAPLE ST STE 103, FORTVILLE, IN 46040-1681
(317) 360-5641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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