Individual
CHARLES RAY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
5840 LORAC DR, SUITE 3C, CLARKSTON, MI 48346-2915
(248) 249-0989
Mailing address
5840 LORAC DR, SUITE 3C, CLARKSTON, MI 48346-2915
(248) 249-0989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012760
MI
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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