Individual
MRS. QIANA RENEE' YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17680 I 30 STE 1, BENTON, AR 72019-2921
(501) 575-2344
(501) 242-7009
Mailing address
864 MONTCLAIR ST, BENTON, AR 72015-3889
(501) 442-0911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1405077
AR
101YM0800X
Mental Health Counselor
Primary
P1705292
AR
Other
Enumeration date
03/30/2009
Last updated
07/13/2021
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