Individual
SHANNON CLARKE BOND-YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-R
Contact information
Practice address
25585 AMERICA SQ, CHANTILLY, VA 20152-6502
(704) 618-0991
Mailing address
25585 AMERICA SQ, CHANTILLY, VA 20152-6502
(704) 618-0991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016442
VA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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