person
Edith Paulette Young, CADE
Addiction (Substance Use Disorder) Counselor in Russellville, Kentucky
NPI 1831238468

Edith Paulette Young is an Addiction (Substance Use Disorder) Counselor based in Russellville, KY and is specialized in Addiction (Substance Use Disorder). Edith Paulette Young practices in Russellville, KY and has the professional credentials of CADE. The NPI Number for Edith Paulette Young is 1831238468 and holds a License No. 0819 (Kentucky).

The current practice location address for Edith Paulette Young is 237 E 6Th St, Russellville, KY and can be reached out via phone at 270-726-3629 and via fax at 270-726-3620.

Location: 237 E 6Th St, Russellville, KY, 42276-2360
person
Provider Profile Details
NPI Number
1831238468
Provider Name
Edith Paulette Young
Credential
CADE
Provider Entity Type
Individual
Gender
Female
Address
237 E 6Th St, Russellville, KY, 42276-2360
Phone Number
270-726-3629
Fax Number
270-726-3620
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30604011 05 KY
institution
Provider Business Practice Location Address Details
Address
237 E 6Th St
City
State
Zip
42276-1917
Phone Number
270-726-3629
Fax Number
270-726-3620
person
Provider Business Mailing Address Details
Address
237 E 6Th St
City
State
Zip
42276-1917
Phone Number
270-726-3629
Fax Number
270-726-3620
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0819 (Kentucky)
Definition
Definition to come...
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