Individual
MISS ANDREA LEE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCDC
Contact information
Practice address
107 S GAINES ST STE 105, ENNIS, TX 75119-4612
(972) 921-2244
(972) 875-3808
Mailing address
107 SOUTH GAINES, SUITE 105, ENNIS, TX 75119
(972) 921-2244
(972) 875-3808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11109
TX
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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