Individual
JANICE YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1350 E RICHARDS ST, TYLER, TX 75702-6153
(903) 531-9455
(903) 531-9328
Mailing address
8217 CLEMSON DR, TYLER, TX 75703-5107
(903) 581-9828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037675801
—
TX
Enumeration date
03/21/2013
Last updated
08/22/2014
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