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NPI Code Detail

MEDICARE: TIFFANY E YOUNG LPCC

MEDICARE: TIFFANY E YOUNG LPCC
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) CounselorC.1801068OH
2101YP2500XProfessional CounselorE.2606086OH

General Provider Information

NPI Number : 1164933172
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY E YOUNG LPCC
Provider Business Mailing Address
First Line : 2801 C CT
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4577
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2801 C CT
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4577
Country : US
Telephone Number : 440-998-4210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2017
Last Update Date : 01/20/2026

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Directions to “ TIFFANY E YOUNG LPCC” Practice Location

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