Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LCAS-26959 | NC |
NPI | 1003417387 |
---|---|
Provider Name | Whitney Guyer Young |
First Address | Charlotte, NC 28217-1309 |
Second Address | Lenoir, NC 28645-5219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 04/11/2020 |