Individual
JONATHAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCSP
Contact information
Practice address
10320 MOULIN AVE NE, ALLIANCE, OH 44601-5906
(330) 823-7458
Mailing address
1176 TEMPLE TRL, STOW, OH 44224-2239
(330) 412-3417
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1503559
OH
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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