Individual
DR. MALCOLM OLIVER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
108 SADY LN, PINEVILLE, LA 71360-4610
(318) 308-5053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
593
LA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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