Individual
MAE C YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
230 GOODMAN RD E, SUITE 102 BUILDING 3, SOUTHAVEN, MS 38671-5154
(662) 349-2148
(662) 349-6626
Mailing address
230 GOODMAN RD E, SUITE 102 BUILDING 3, SOUTHAVEN, MS 38671-5154
(662) 349-2148
(662) 349-6626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0633
MS
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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