Individual provider · Type 1 NPI

Jettie C. Young, LPC, LCDC

Mental Health Counselor · Austin, TX

NPI number 1083189930 Active

Practice location

4101 Louise Lee Dr
Austin, TX 78725-4005

Call (512) 703-0770 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X14586 (TX)
Mental Health Counselor Primary 101YM0800X78674 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1083189930

Jettie C. Young, LPC, LCDC's National Provider Identifier is 1083189930, issued on Oct 8, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Sep 9, 2019.