Provider Information for 1952885436
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JENNIE R YOUNG LPC
Sex: Female
NPI: 1952885436
Last Updated: 2018-09-20
Certification Date:
Certification Date:
Details
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NPI | 1952885436 | ||||||||
Enumeration Date | 2018-09-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 739 S MARQUETTE DR MONTGOMERY, AL 36109-3807 United States Phone: 334-202-5015 | Fax: | ||||||||
Primary Practice Address | 5510 WARES FERRY RD STE U MONTGOMERY, AL 36117-2131 United States Phone: 334-387-2317 | Fax: | ||||||||
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