Individual
MS. GERALDINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LICENSED PROFESS
Contact information
Practice address
410 W GRAND, MARSHALL, TX 75670
(903) 935-2099
(903) 935-2090
Mailing address
NP11 LAKE CHEROKEE, LONGVIEW, TX 75603
(903) 643-7453
(903) 643-7453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC4706
TX
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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