Individual
SANDRA IRENE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
271 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
(636) 206-6169
Mailing address
271 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
(636) 206-6169
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
2011040293
MO
Other
Enumeration date
10/30/2012
Last updated
07/24/2020
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