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Individual

MR. JEFFERSON DAVIS YOUNG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCP LCMFT LMLP

Contact information

Practice address
208 E 7TH STREET, HIGH PLAINS MENTAL HEALTH CENTER, HAYS, KS 67601-4117
(785) 628-2871
(785) 628-0426
Mailing address
745 WEST 48TH STREET, HAYS, KS 67601-9478
(785) 625-7210

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LCP234
KS
103T00000X
Psychologist
Primary
LMLP0161
KS
106H00000X
Marriage & Family Therapist
LCMFT121
KS

Other

Enumeration date
01/17/2007
Last updated
04/03/2013
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