Individual
JOAN ELLIS-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1831 W MELVILLE RD, SPRINGFIELD, MO 65803-1675
(417) 890-5533
Mailing address
1831 W MELVILLE RD, SPRINGFIELD, MO 65803-1675
(417) 890-5533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002010837
MO
Other
Enumeration date
06/24/2005
Last updated
09/27/2011
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