Provider Demographics
NPI:1427838069
Name:YOUNG CARDENAS, COURTNEY DENISE (LPC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DENISE
Last Name:YOUNG CARDENAS
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 1:2327 TALL SHIPS DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2303
Mailing Address - Country:US
Mailing Address - Phone:903-644-6135
Mailing Address - Fax:
Practice Address - Street 1:1120 NASA PKWY STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3320
Practice Address - Country:US
Practice Address - Phone:832-240-4745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional