Provider Demographics
NPI:1497059414
Name:YOUNG, LINDA (BSHS CADC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:BSHS CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 CHAPMAN RD
Mailing Address - Street 2:STOCKTON BUILDING SUITE 100
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5423
Mailing Address - Country:US
Mailing Address - Phone:302-266-3246
Mailing Address - Fax:302-266-7990
Practice Address - Street 1:261 CHAPMAN RD
Practice Address - Street 2:STOCKTON BUILDING SUITE 100
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5423
Practice Address - Country:US
Practice Address - Phone:302-266-3246
Practice Address - Fax:302-266-7990
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDADCCB-447101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)