Provider Demographics
NPI:1942615174
Name:YOUNG, ERIN R (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:R
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RIVERVIEW DR STE 201
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3115
Mailing Address - Country:US
Mailing Address - Phone:973-628-8530
Mailing Address - Fax:
Practice Address - Street 1:22 RIVERVIEW DR STE 201
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3115
Practice Address - Country:US
Practice Address - Phone:973-628-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00451400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional