MEDICARE: APRIL YOUNG

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
1	101YP1600X	Pastoral Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1447022660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL YOUNG

Provider Business Mailing Address
First Line	:	PO BOX 100496
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33310-0496
Country	:	US
Telephone Number	:	786-252-5086
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 NW 28TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-4416
Country	:	US
Telephone Number	:	786-252-5086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	12/12/2023

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Directions to “ APRIL YOUNG ” Practice Location

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