Individual provider · Type 1 NPI

Modesty S. Young

Mental Health Counselor · Jackson Heights, NY

NPI number 1053817403 Active

Practice location

3524 83rd St
Jackson Heights, NY 11372-5229

Fax (718) 639-7684

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053817403

Modesty S. Young's National Provider Identifier is 1053817403, issued on Apr 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson Heights, NY. The record was last updated on Apr 4, 2018.