Individual provider · Type 1 NPI

Shane G. Young, MA, NCC, LPC

Professional Counselor · Peoria, IL

NPI number 1194337147 Active

Practice location

3020 W Willow Knolls Dr
Peoria, IL 61614-8127

Call (309) 681-5850 Map

Mailing address

PO Box 335
Glasford, IL 61533-0335

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178015348 (IL)

Professional Counselor: Definition to come...

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About NPI 1194337147

Shane G. Young, MA, NCC, LPC's National Provider Identifier is 1194337147, issued on Aug 20, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Aug 20, 2020.