MR. BRADLEY DAVID YOUNG LCMHC
NPI 1083930697
Counselor - Mental Health in Rutland, VT
Active since April 08, 2010
About Mr. Bradley David Young Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRADLEY DAVID YOUNG LCMHC (NPI 1083930697) is an individual mental health provider in Rutland, Vermont, licensed in Vermont (068.0056573) and active in the NPI registry since April 2010.
NPPES Registry Identity
NPI1083930697
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRADLEY DAVID YOUNGCredential: LCMHC
Location Address50 KENDALL AVERutland, VT 05701-3117
Mailing Address50 Kendall AveRutland, VT 05701 · (802) 353-3421
Phone(802) 353-3421
Sole ProprietorYes
Enumeration DateApril 8, 2010
Last NPPES UpdateJuly 21, 2022
✔ NPI 1083930697 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VT · 068.0056573
50 KENDALL AVE, Rutland, VT 05701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083930697, enumerated as an "individual" on April 08, 2010.
The provider is located at 50 KENDALL AVE RUTLAND, VT 05701 and the phone number is (802) 353-3421.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
