Provider Demographics
NPI:1598890436
Name:YOUNG, DONNA M (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 BUDDY CAMPBELL CT
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-6774
Mailing Address - Country:US
Mailing Address - Phone:301-641-3958
Mailing Address - Fax:
Practice Address - Street 1:59 BUDDY CAMPBELL CT
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6774
Practice Address - Country:US
Practice Address - Phone:301-641-3958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18303101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional