Individual
RANDALL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Mailing address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001948A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000867644
ANTHEM BCBS
IN
Enumeration date
03/27/2008
Last updated
05/20/2014
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