Young, John

Young, John is an individual health care provider with primary practice located at 24986 Rice Tract Rd , San Benito TX 78586-6660. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Young, John can be contacted via phone (956) 361-2566.

Contact Information

Primary practice address
24986 Rice Tract Rd San Benito TX 78586-6660
Phone: (956) 361-2566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1205 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 621 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 322 Texas

Profile Details

NPI number 1487680161
LBN Legal business name Young, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487680161 NPPES
Texas MEDICAID 0640948-01

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