Individual
JILLIAN LEIGH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
6010 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-9752
(609) 272-0909
(609) 272-0157
Mailing address
651 7TH ST, SOMERS POINT, NJ 08244-1958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00441700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
NJ
Enumeration date
01/19/2010
Last updated
11/15/2024
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