Individual
MAUREEN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
2217 BRILAND CT, FUQUAY VARINA, NC 27526-9466
(919) 346-1220
Mailing address
2217 BRILAND CT, FUQUAY VARINA, NC 27526-9466
(919) 346-1220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1499
NC
101YM0800X
Mental Health Counselor
004199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112097
—
NC
Enumeration date
12/29/2011
Last updated
12/29/2011
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