Individual
JILLIAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17210 CAMPBELL RD, DALLAS, TX 75252-4202
(214) 250-1700
Mailing address
3109 DOUGLAS AVE APT 343, DALLAS, TX 75219-3515
(214) 729-6345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
84585
TX
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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