Individual
JEANNIE MARIE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
27780 NOVI RD, NOVI, MI 48377-3401
(248) 916-2855
Mailing address
PO BOX 3214, SOUTHFIELD, MI 48037-3214
(248) 910-0607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451017837
MI
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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