Individual
LORI RENEE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1144 N. BUCKNER, DERBY, KS 67037
(316) 644-7579
Mailing address
842 ENGLISH COURT, DERBY, KS 67037
(316) 644-7579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
KS
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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