Joseph Young
Individual provider Active NPI Pastoral Counselor · Connelly Springs, NC
NPI 1881065779 · NPPES record last updated Oct 17, 2015
Key facts
- NPI
- 1881065779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pastoral Counselor 101YP1600X
- License
- 102 (NC)
- Practice address
- 560 Malcolm Blvd
Connelly Springs, NC 28612-7918 - Phone
- (828) 879-4567
- Fax
- (828) 879-4560
- NPI assigned
- Oct 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102 | NC | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamie S. Young, MD, PHD, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 102 | NC | Yes |
Addresses
Primary practice location
560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Mailing address
PO Box 265
Rutherford College, NC 28671-0265
Phone (828) 879-4567
Other providers in Connelly Springs, NC
- Valdese Nursing Home Inc
- Gloria Marie Vodan
- Walgreen Co
- Richard Dean Wall
- Traci Myers White
- Emily Austin Yount
All providers in Connelly Springs, NC · Pastoral Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.