Individual
BEVERLY R YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1216 W JEFFERSON ST, KOKOMO, IN 46901-4341
(765) 854-6010
(765) 854-6011
Mailing address
PO BOX 6181, KOKOMO, IN 46904-6181
(765) 854-6010
(765) 854-6011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002256A
IN
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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