Individual
MRS. DIANE JOYCE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
48 BRIDGE ST, SALEM, MA 01970-4127
(978) 744-7905
(978) 740-9145
Mailing address
11 TRAGER RD, MARBLEHEAD, MA 01945-1825
(781) 631-8048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4700
MA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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