Individual
BERNICE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 655-7869
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 655-7869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178-003379
IL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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