Individual
GREGORY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 SIOUX DR, VIRGINIA BEACH, VA 23462-5842
(757) 560-3303
Mailing address
4900 SIOUX DR, VIRGINIA BEACH, VA 23462-5842
(757) 560-3303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11159920
VA
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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