Individual
MR. CHRISTOPHER JOHN YOUNG
Active
Individual
MR. CHRISTOPHER JOHN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063521000
MAGELLAN BEHAVIORAL CARE
MA
01
—
459158
TUFTS HEALTH CARE
MA
01
—
839789946
UNITED BEHAVIORAL HEALTH
—
01
—
PO3711
BLUE CROSS / BLUE SHIELD
—
Enumeration date
10/27/2006
Last updated
07/08/2007
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