Provider Demographics
NPI:1447378062
Name:YOUNG, WILLIAM ARTHUR III (LPC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:YOUNG
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11870 SUNRISE VALLEY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-3304
Mailing Address - Country:US
Mailing Address - Phone:703-391-7380
Mailing Address - Fax:703-391-7381
Practice Address - Street 1:11870 SUNRISE VALLEY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3304
Practice Address - Country:US
Practice Address - Phone:703-391-7380
Practice Address - Fax:703-391-7381
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001463101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health