Individual
GINA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60089-1926
(813) 857-1429
Mailing address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60089-1926
(813) 857-1429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011116
IL
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
IL
05
—
362777027
—
IL
Enumeration date
12/10/2018
Last updated
08/17/2022
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