Individual
STACEY R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E MAIN ST STE 110, COLUMBUS, OH 43209-2536
(614) 340-5922
(614) 448-3344
Mailing address
1620 E BROAD ST STE 103, COLUMBUS, OH 43203-2012
(614) 340-5592
(614) 448-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
Other
Enumeration date
04/26/2019
Last updated
02/26/2024
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