Individual provider · Type 1 NPI
Myrna Borbon Young, LPC
Professional Counselor · Fayetteville, AR
NPI number
1487693891
Active
Practice location
130 E Poplar St Ste C&d
Fayetteville, AR 72703
Fax (479) 755-3595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | A0507049 (AR) |
| Mental Health Counselor | 101YM0800X | P0807060 (AR) |
| Professional Counselor Primary | 101YP2500X | P0807060 (AR) |
Professional Counselor: Definition to come...
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About NPI 1487693891
Myrna Borbon Young, LPC's National Provider Identifier is 1487693891, issued on Jun 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on May 29, 2018.