Individual provider · Type 1 NPI

Connie J. Young-Gibraltarik, MED, MA, LPC

Professional Counselor · Stockbridge, GA

NPI number 1083153142 Active

Practice location

950 Eagles Landing Pkwy, Suite 665
Stockbridge, GA 30281-7343

Call (510) 914-7540 Map

Fax (770) 629-2139

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC009420 (GA)

Professional Counselor: Definition to come...

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About NPI 1083153142

Connie J. Young-Gibraltarik, MED, MA, LPC's National Provider Identifier is 1083153142, issued on Feb 21, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stockbridge, GA. The record was last updated on Apr 23, 2017.