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Kenneth Young, LCDCII
Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio
NPI 1386179802

Kenneth Young is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Kenneth Young practices in Mansfield, OH and has the professional credentials of LCDCII. The NPI Number for Kenneth Young is 1386179802 and holds a License No. CDCA.161465 (Ohio).

The current practice location address for Kenneth Young is 580 Park Ave W, Mansfield, OH and can be reached out via phone at 833-510-4357.

Location: 580 Park Ave W, Mansfield, OH, 45212-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386179802
Provider Name
Kenneth Young
Credential
LCDCII
Provider Entity Type
Individual
Gender
Male
Address
580 Park Ave W, Mansfield, OH, 45212-2600
Phone Number
833-510-4357
Fax Number
Provider Enumeration Date
04/21/2017
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
580 Park Ave W
City
Mansfield
State
Ohio
Zip
44906-3722
Phone Number
833-510-4357
Fax Number
person
Provider Business Mailing Address Details
Address
580 Park Ave W
City
Mansfield
State
Ohio
Zip
44906-3722
Phone Number
833-510-4357
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.161465 (Ohio)
Definition
Definition to come...
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