Individual
NEDRA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 LADNIER RD, GAUTIER, MS 39553-7306
(228) 497-0690
Mailing address
3413 SHERLAWN DR, MOSS POINT, MS 39563-3836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
11/13/2019
Last updated
11/13/2019
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