Individual
MRS. KEIRA REVA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC NCC
Contact information
Practice address
1725 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9118
(678) 853-5849
Mailing address
1725 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006400
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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