Individual
LISA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA/BHCM
Contact information
Practice address
121 W MAIN ST, HOLDENVILLE, OK 74848-3229
(405) 379-6668
(405) 379-5372
Mailing address
PO BOX 81, 12880 NS 358, BOWLEGS, OK 74830-0081
(405) 380-5986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12197
OK
171M00000X
Case Manager/Care Coordinator
20996
OK
Other
Enumeration date
10/01/2010
Last updated
04/29/2026
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