Individual
MS. DEANNA A YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
2020 EAST WASHINGTON BLVD, SUITE 700, FORT WAYNE, IN 46803
(260) 422-3034
(260) 422-3691
Mailing address
2020 EAST WASHINGTON BLVD., SUITE 700, FORT WAYNE, IN 46803
(260) 422-3034
(260) 422-3691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34001948A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183259
BC-BS
IN
01
—
076050000
MAGELLAN
IN
05
—
100440190A
—
IN
Enumeration date
07/18/2006
Last updated
02/03/2011
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