MR. MARK ANTHONY YOUNG M.A., CCDCIII
NPI 1104858000
Counselor - Addiction (Substance Use Disorder) in Sioux Falls, SD
Active since July 07, 2006
About Mr. Mark Anthony Young M.a., Ccdciii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK ANTHONY YOUNG M.A., CCDCIII (NPI 1104858000) is an individual addiction (substance use disorder) provider in Sioux Falls, South Dakota, licensed in South Dakota (03021132) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1104858000
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MARK ANTHONY YOUNGCredential: M.A., CCDCIII
Location Address2501 W 22ND STSioux Falls, SD 57105-1305
Mailing Address1952 W Johnson PlSioux Falls, SD 57105-6638 · (605) 331-5285
Phone(605) 333-6890
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104858000 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in SD · 03021132
2501 W 22ND ST, Sioux Falls, SD 57105
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
2501 W 22ND ST, PRIMARY CARE - 111A
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104858000, enumerated as an "individual" on July 07, 2006.
The provider is located at 2501 W 22ND ST SIOUX FALLS, SD 57105 and the phone number is (605) 333-6890.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
