Individual
MARY ELIZABETH YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
39 CHURCH ST., HARDWICK, VT 05843-0109
(802) 472-3345
(802) 472-3345
Mailing address
PO BOX 109, HARDWICK, VT 05843-0109
(802) 472-3345
(802) 472-3345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000145
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006704
—
VT
01
—
18873
BLUE CROSS/BLUE SHIELD
VT
Enumeration date
05/26/2006
Last updated
07/08/2007
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