Individual provider · Type 1 NPI

Jill Andrea Young, CM LADC

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1053454777 Active

Practice location

2325 S. Harvard
Tulsa, OK 74114-3300

Call (918) 712-4301 Map

Mailing address

650 S Peoria
Tulsa, OK 74120-4429

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLADC591 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053454777

Jill Andrea Young, CM LADC's National Provider Identifier is 1053454777, issued on Feb 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Jul 8, 2007.