MEDICARE: MS. WESLYN JANE 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649414640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WESLYN JANE YOUNG

Provider Business Mailing Address
First Line	:	6155 INGRAM DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2330
Country	:	US
Telephone Number	:	225-491-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	6155 INGRAM DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2330
Country	:	US
Telephone Number	:	225-280-1394
Fax Number	:

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

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	04/15/2024

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