Individual
MS. AGA DANEEN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WELLNESSPRACTITIONER
Contact information
Practice address
606 N UTICA ST, TERRY, MS 39170-8837
(769) 245-7938
Mailing address
3072 LITTLE ROCK RD, CRYSTAL SPRINGS, MS 39059-9558
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
3322-4030
MS
174H00000X
Health Educator
3322-4030
MS
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
3322-4030
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3322-4030
—
MS
Enumeration date
01/26/2023
Last updated
09/04/2025
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