Individual
ELEANOR LATISHA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W WILLIE MORRIS PKWY, YAZOO CITY, MS 39194-7702
(662) 746-5712
Mailing address
635 W WILLIE MORRIS PKWY, YAZOO CITY, MS 39194-7702
(662) 746-5712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
MS
05
—
101YMO800X
—
MS
Enumeration date
09/01/2022
Last updated
09/01/2022
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