Individual provider · Type 1 NPI

Kenneth Young, LCDCII

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1386179802 Active

Practice location

580 Park Ave W
Mansfield, OH 44906-3722

Call (833) 510-4357 Map

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

  • 169 Mansfield Ave, Shelby, OH 44875-1832 · (419) 292-9211

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.161465 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCII.161754

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

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About NPI 1386179802

Kenneth Young, LCDCII's National Provider Identifier is 1386179802, issued on Apr 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Jul 3, 2024.