Individual
DEBORAH MELISSA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7260 COLD HARBOR RD APT 304, MECHANICSVILLE, VA 23111-5063
(929) 236-6334
Mailing address
7260 COLD HARBOR RD APT 304, MECHANICSVILLE, VA 23111-5063
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T61873362
DRIVERS LICENSE
VA
Enumeration date
11/14/2019
Last updated
07/09/2020
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