Individual
JENILYN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 CIC BLVD, WEST UNION, OH 45693-7512
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
(513) 694-0168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.186863
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.191090
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039563
—
OH
Enumeration date
01/09/2024
Last updated
01/03/2025
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