Individual provider · Type 1 NPI
Andrea Young
Professional Counselor · Stone Mountain, GA
NPI number
1144083502
Active
Practice location
1304 Rockbridge Rd # SWSTE205
Stone Mountain, GA 30087-3103
Fax (770) 939-3734
Mailing address
1304 Rockbridge Rd Ste 205
Stone Mountain, GA 30087-3103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 008288 (GA) |
Professional Counselor: Definition to come...
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About NPI 1144083502
Andrea Young's National Provider Identifier is 1144083502, issued on Jan 30, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Jan 30, 2024.