Individual
CLORISSA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
92 CIRCLE DR W, MONTGOMERY, IL 60538-2502
(815) 531-4561
Mailing address
92 CIRCLE DR W, MONTGOMERY, IL 60538-2502
(815) 531-4561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.010903
IL
101YP2500X
Professional Counselor
Primary
180.012944
IL
Other
Enumeration date
11/29/2016
Last updated
07/19/2022
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