Individual
MS. LAUREN ELISE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPA
Contact information
Practice address
415 GIBSON LN, RICHMOND, KY 40475-2577
(859) 623-9367
(859) 623-9389
Mailing address
111 MANNA DR APT 3, RICHMOND, KY 40475-2615
(606) 923-8789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
02/18/2016
Last updated
03/15/2016
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