Provider Demographics
NPI:1588995351
Name:YOUNG, APRIL JEAN
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:JEAN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:APRIL
Other - Middle Name:JEAN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:1430 NELSON RD
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6360
Mailing Address - Country:US
Mailing Address - Phone:303-249-8228
Mailing Address - Fax:
Practice Address - Street 1:1430 NELSON RD
Practice Address - Street 2:SUITE 201A
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6360
Practice Address - Country:US
Practice Address - Phone:303-249-8228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4505101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health