Individual
JENNIFER DARA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC - 2425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252952
COMPSYCH
AR
01
—
506812
MHS
AZ
01
—
757750
AHCCCS
AZ
01
—
MHN
308122
AZ
Enumeration date
07/31/2006
Last updated
07/08/2007
Update your record
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