Individual
LESA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
204 BEVINS LN STE A, GEORGETOWN, KY 40324-6145
(859) 951-9777
(859) 951-9779
Mailing address
204 BEVINS LN STE A, GEORGETOWN, KY 40324-6145
(859) 951-9777
(859) 951-9779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
167911
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100576350
—
KY
Enumeration date
02/21/2017
Last updated
11/20/2020
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