Individual
JANA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-8656
Mailing address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-8656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
E.0500084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13581620
CAQH
—
01
—
E.0500084
STATE OF OHIO COUNSELOR SOCIAL WORKER AND MARRIAGE
OH
Enumeration date
07/14/2015
Last updated
07/14/2015
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