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Dericka Lea Young, MS,LPC
Counselor in Fort Worth, Texas
NPI 1659831600

Dericka Lea Young is a Counselor based in Fort Worth, TX. Dericka Lea Young practices in Fort Worth, TX and has the professional credentials of MS,LPC. The NPI Number for Dericka Lea Young is 1659831600 and holds a License No. 77911 (Texas).

The current practice location address for Dericka Lea Young is 641 Bareback Ln, Fort Worth, TX and can be reached out via phone at 682-258-9740.

Location: 641 Bareback Ln, Fort Worth, TX, 76131-3121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659831600
Provider Name
Dericka Lea Young
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
641 Bareback Ln, Fort Worth, TX, 76131-3121
Phone Number
682-258-9740
Fax Number
Provider Enumeration Date
03/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
641 Bareback Ln
City
Fort Worth
State
Texas
Zip
76131-3121
Phone Number
682-258-9740
Fax Number
person
Provider Business Mailing Address Details
Address
641 Bareback Ln
City
Fort Worth
State
Texas
Zip
76131-3121
Phone Number
682-258-9740
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
77911 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
77911 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
77911 (Texas)
Definition
Definition to come...
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