Whalio Doctors

NPI 1003861683

Ean Vincenzo Young, LPCLMFTCEAPNCC

Practitioner Professional Counselor Lafayette, LA

Practice location

Address
600 Jefferson St Suite 902, Lafayette, LA 70501-6942
Phone
(337) 993-0000
Fax
(337) 354-2410
Mailing address
104 Olive Vista Dr, Scott, LA 70583-5655

Registered specialties (2)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2817 (LA)
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 236 (LA)

Registry record

NPI
1003861683
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2006
Record last updated
5 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.