Individual provider · Type 1 NPI
Molly Young, RESIDENT
Professional Counselor · Fairfax, VA
NPI number
1740033372
Active
Practice location
3901 Rugby Rd
Fairfax, VA 22033-2202
Mailing address
11201 Reston Station Blvd Apt 608
Reston, VA 20190-5474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0704016339 (VA) |
Professional Counselor: Definition to come...
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About NPI 1740033372
Molly Young, RESIDENT's National Provider Identifier is 1740033372, issued on Apr 11, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Apr 11, 2024.