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NPI Code Detail

MEDICARE: AMANDA MARIE YOUNG M.ED., LPCC-S, LCADC

MEDICARE:   AMANDA MARIE YOUNG  M.ED., LPCC-S, LCADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor173094KY

General Provider Information

NPI Number : 1114317237
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARIE YOUNG M.ED., LPCC-S, LCADC
Provider Business Mailing Address
First Line : 1202 FREDERICA STREET
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-2956
Country : US
Telephone Number : 502-635-4530
Fax Number :
Provider Business Practice Location Address
First Line : 1202 FREDERICA STREET
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-2956
Country : US
Telephone Number : 270-903-9003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2015
Last Update Date : 03/19/2026

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Directions to “ AMANDA MARIE YOUNG M.ED., LPCC-S, LCADC” Practice Location

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