Individual
JENNIFER K. YOUNGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1316 BROAD ST, DURHAM, NC 27705-3533
(216) 410-5711
Mailing address
103 WESTCHESTER PL, CHAPEL HILL, NC 27514-5237
(216) 410-5711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3287
NC
Other
Enumeration date
05/10/2006
Last updated
10/06/2021
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