Most Relevant Information
Provider Data
| NPI Number: | 1003540139 |
| Provider Name: | CRYSTAL YOUNGER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2022 |
| Last Updated: | 08/24/2022 |
Provider Practice Location
1016 1/2 W 21ST AVE
COVINGTON
LA
704337443
Practice Location Phone/Fax
| Phone: | 9852764165 |
| Fax: |
Provider Mailing Location
PO BOX 1152
MANDEVILLE
LA
704701152
Provider Mailing Phone/Fax
| Phone: | 9852003999 |
| Fax: | 9854002333 |