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Individual

MARK G YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC, LADC

Contact information

Practice address
49 SCHOOL ST, HARTFORD, VT 05047
(802) 295-3031
(802) 295-0820
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4567
(802) 886-4520

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000472
VT

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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