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Individual

JANET YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
223 S WHITE ST, WAKE FOREST, NC 27587-2741
(919) 556-0709
Mailing address
PO BOX 1828, WAKE FOREST, NC 27588-1828
(919) 556-0709

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
764
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34479
NBCC
NC
01
89706
BCBS NUMBER
NC
Enumeration date
03/26/2007
Last updated
07/08/2007
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