Individual provider · Type 1 NPI
Kelly Marie Young, LCDC II
Addiction (Substance Use Disorder) Counselor · Lorain, OH
NPI number
1306144167
Active
Practice location
6140 S Broadway
Lorain, OH 44053-3821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 161869 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306144167
Kelly Marie Young, LCDC II's National Provider Identifier is 1306144167, issued on Mar 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Dec 4, 2024.