Individual
ANJANETTE LASHELL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1019 W 110TH ST, CHICAGO, IL 60643-3741
(630) 452-2301
Mailing address
1019 W 110TH ST, CHICAGO, IL 60643-3741
(630) 452-2301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.020.825
IL
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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