| Young Clinical Services | |
|
412 S Maple St Ste 103 Fortville IN 46040-1681 | |
| (317) 360-5641 | |
| Not Available |
| Full Name | Young Clinical Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 412 S Maple St Ste 103, Fortville, Indiana |
| Authorized Official Name and Position | Mitchell J. Young (OWNER AND COUNSELOR) |
| Authorized Official Contact | 3173605641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Clinical Services 412 S Maple St Ste 103 Fortville IN 46040-1681 Ph: (317) 360-5641 | Young Clinical Services 412 S Maple St Ste 103 Fortville IN 46040-1681 Ph: (317) 360-5641 |
| NPI Number | 1497437974 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497437974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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