Individual
MS. ELEANE LATONYA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT 87673
Contact information
Practice address
9327 MIDLOTHIAN TPKE STE 1D, NORTH CHESTERFIELD, VA 23235-4965
(951) 900-4414
(951) 880-0817
Mailing address
9327 MIDLOTHIAN TPKE STE 1D, NORTH CHESTERFIELD, VA 23235-4965
(951) 900-4414
(951) 880-0817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
0717001508
VA
106H00000X
Marriage & Family Therapist
LMFT87673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0717001508
VIRGINIA BOARD OF PSYCHOLOGY
VA
Enumeration date
10/14/2008
Last updated
03/06/2024
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