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Individual

SHANA YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
905 MCAFEE MEDICAL CIRCLE, BEEBE, AR 72012-2217
(501) 232-2600
(501) 242-0820
Mailing address
905 MCAFEE MEDICAL CIRCLE, BEEBE, AR 72012-2217
(501) 232-2600
(501) 242-0820

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1607080
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
192500795
AK
01
5BT74
BCBS
Enumeration date
05/01/2013
Last updated
02/10/2020
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