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NPI Code Detail

MEDICARE: PAMELA NECOLE YOUNG LPC

MEDICARE:   PAMELA NECOLE YOUNG  LPC
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
1101Y00000XCounselorPLC8113LA
2101YM0800XMental Health CounselorPLC8113LA
3171M00000XCase Manager/Care Coordinator
4101YP2500XProfessional Counselor8113LA

General Provider Information

NPI Number : 1588080196
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA NECOLE YOUNG LPC
Provider Business Mailing Address
First Line : 4951 CENTRAL AVE
Second Line :
City : MONROE
State : LA
Zip : 71203-6156
Country : US
Telephone Number : 318-582-5236
Fax Number : 318-582-5192
Provider Business Practice Location Address
First Line : 4951 CENTRAL AVE
Second Line :
City : MONROE
State : LA
Zip : 71203-6156
Country : US
Telephone Number : 318-582-5236
Fax Number : 318-582-5192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2014
Last Update Date : 04/23/2025

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Directions to “ PAMELA NECOLE YOUNG LPC” Practice Location

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