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NPI Code Detail

MEDICARE: JENNIFER A YOUNG LPC

MEDICARE: JENNIFER A YOUNG LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1913WV

General Provider Information

NPI Number : 1871890335
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A YOUNG LPC
Provider Business Mailing Address
First Line : 343 TANBRIDGE DR
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4694
Country : US
Telephone Number : 304-433-0961
Fax Number :
Provider Business Practice Location Address
First Line : 126 E BURKE ST
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4302
Country : US
Telephone Number : 304-433-0961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2011
Last Update Date : 08/01/2024

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Directions to “ JENNIFER A YOUNG LPC” Practice Location

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