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Individual

JERRAI ROCHELLE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, PMHNP-BC

Contact information

Practice address
5111 GALLOWAY RD, GRACEVILLE, FL 32440-4309
(850) 209-0416
Mailing address
5111 GALLOWAY RD, GRACEVILLE, FL 32440-4309
(850) 209-0416

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15895
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11046193
FL

Other

Enumeration date
09/25/2020
Last updated
05/08/2026
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