Individual
DIAMOND R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 447-6884
Mailing address
933 N ELM ST, GREENVILLE, IL 62246-1259
(618) 447-6884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.019089
IL
Other
Enumeration date
06/12/2023
Last updated
10/01/2024
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