Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Young, LCDCII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386179802

Kenneth Young, LCDCII is an Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

580 Park Ave W
Mansfield, OH 44906-3722
Phone: (833) 510-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 169 Mansfield Ave, Shelby, OH 44875-1832 — (419) 292-9211

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCII.161754
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.161465 (OH)

Record details

NPI number1386179802
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCII
Sole proprietorNo
NPI enumeratedApril 21, 2017
Last updated in NPPESJuly 3, 2024
Certification dateJuly 2, 2024
Mailing address4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600

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