Individual
ANGELA SHARESE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5910 W DIVISION ST, CHICAGO, IL 60651-1031
(773) 777-7112
Mailing address
5910 W DIVISION ST, CHICAGO, IL 60651-1031
(773) 777-7112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178004199
IL
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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