Individual
MR. CODY S YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 N AVERS AVE, CHICAGO, IL 60618-5203
(207) 712-2118
Mailing address
3303 N AVERS AVE, CHICAGO, IL 60618-5203
(207) 712-2118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149.026151
IL
Other
Enumeration date
05/01/2012
Last updated
12/11/2023
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