Individual
MITCHELL JOHN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
412 S MAPLE ST STE 103, FORTVILLE, IN 46040-1681
(317) 360-5641
(317) 412-9130
Mailing address
412 S MAPLE ST STE 103, FORTVILLE, IN 46040-1681
(317) 360-5641
(317) 412-9130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.0007959
IL
101YP2500X
Professional Counselor
Primary
39003348A
IN
Other
Enumeration date
07/22/2009
Last updated
03/25/2024
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