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Individual

LISA YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
12827 HOLIDAY LN, BOWIE, MD 20716-1139
(215) 913-4126
Mailing address
12827 HOLIDAY LN, BOWIE, MD 20716-1139

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6701
MD
101YP2500X
Professional Counselor
PC005405
PA
101YP2500X
Professional Counselor
PRC15296
DC

Other

Enumeration date
05/30/2013
Last updated
10/26/2020
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