Individual
JOHN CLARK YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19344 N 10TH ST, COVINGTON, LA 70433-8877
(985) 200-3999
Mailing address
PO BOX 1152, MANDEVILLE, LA 70470-1152
(985) 200-3999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CIT-5517
LA
101YP2500X
Professional Counselor
Primary
LPC9395
LA
Other
Enumeration date
05/02/2023
Last updated
09/09/2025
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