RANDY YOUNG LICDC NPI 1699285882

NPI Information

NPI: 1699285882
Provider Name: RANDY YOUNG, LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1 ELIZABETH PL STE D
DAYTON, OH
ZIP 45417
Phone: (937) 222-2233
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Randy Young, LICDC is an addiction (substance use disorder) counselor in Dayton, OH. Randy Young, LICDC NPI is 1699285882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 ELIZABETH PL STE D
DAYTON, OH
ZIP 45417-445
Phone: (937) 222-2233
Fax: (937) 222-9665

The enumeration date for this NPI number is 10/3/2017 and was last updated on 8/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		121068	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	161647	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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