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Individual
MRS. LISA YOUNG
Active
Individual
MRS. LISA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3034
OK
101YM0800X
Mental Health Counselor
Primary
65677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65677
LPC
TX
Enumeration date
04/02/2007
Last updated
06/23/2010
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