Provider Demographics
NPI:1134684020
Name:YOUNG, KATHLEEN MA (MA, LGMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MA, LGMFT
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:MA
Other - Last Name:CURLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9601 MARATHON TERRACE
Mailing Address - Street 2:APT. 104
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878
Mailing Address - Country:US
Mailing Address - Phone:410-305-4344
Mailing Address - Fax:
Practice Address - Street 1:4200 FORBES BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:301-429-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM417106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist