Provider Demographics
NPI:1750729489
Name:OH, DAVID YOUNG (LCMHC, MS, MA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:YOUNG
Last Name:OH
Suffix:
Gender:M
Credentials:LCMHC, MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2003 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1109
Mailing Address - Country:US
Mailing Address - Phone:919-960-1396
Mailing Address - Fax:919-887-2746
Practice Address - Street 1:2009 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-1109
Practice Address - Country:US
Practice Address - Phone:919-960-1396
Practice Address - Fax:919-887-2746
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional