Provider Demographics
NPI:1023344488
Name:YOUNT, JOHN CHRISTOPHER (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:YOUNT
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 COMM PARK LN
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-5490
Mailing Address - Country:US
Mailing Address - Phone:919-331-2013
Mailing Address - Fax:919-331-2015
Practice Address - Street 1:45 COMM PARK LN
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-5490
Practice Address - Country:US
Practice Address - Phone:919-331-2013
Practice Address - Fax:919-331-2015
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0062201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007540Medicaid