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Individual

ISAAC ASHLEY YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
72 ELM ST, SALEM, NJ 08079-1706
(856) 952-3991
Mailing address
72 ELM ST, SALEM, NJ 08079-1706
(856) 952-3991

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/10/2019
Last updated
09/10/2019
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