Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
Y | 104100000X | Social Worker | ||
N | 1041C0700X | Clinical Social Worker |
NPI | 1093320913 |
---|---|
Provider Name | Lindsay Jean Young |
First Address | Worcester, MA 01604-3069 |
Second Address | Woodstock, CT 06281-0628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2020 |
Last Update Date | 09/09/2020 |