Individual
KEVIN L YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2312 PEACHFORD RD, SUITE C, ATLANTA, GA 30338-7143
(404) 641-3089
Mailing address
1821 TREE PARK CIR, FLOWERY BRANCH, GA 30542-2878
(404) 641-3089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267180411A
—
GA
Enumeration date
11/28/2006
Last updated
03/14/2011
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