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Terry L Young, LPC, LCDC

Counselor, Professional in Thorndale, TX. Individual provider (NPI-1).

NPI number1669939708
StatusActive
Last updated in NPPESFeb 25, 2019

Details

NPI
1669939708
Entity type
Individual (NPI-1)
Name
Mrs. Terry L Young
Credential
LPC, LCDC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 25, 2019
Last updated
Feb 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional77597TXYes
101YA0400X Counselor, Addiction (Substance Use Disorder)12704TX

Practice location

3632 Fm 3061
Thorndale, TX 76577-8537

Phone 512-365-4678

Mailing address

3632 Fm 3061
Thorndale, TX 76577

Phone 512-446-2282

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