Dr. Mark Condron Young
Counselor, Professional in Mooresville, NC. Organization (NPI-2).
NPI number1063427870
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1063427870
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Mark Condron Young
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5255 | NC | Yes |
Other names
- Wellhaven Pastoral Counseling & Psychotherapy (Doing Business As)
Practice location
111 Kilson Dr.Suite 205
Mooresville, NC 28117
Phone 704-799-0105
Mailing address
279 Flanders Dr.Mooresville, NC 28117-4125
Phone 980-297-0752
Authorized official
Mark Condron Young
Sole Proprietor
7047990105
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