person
Mrs. Staci M Young, LPC
Professional Counselor in Suffolk, Virginia
NPI 1144479379

Staci M Young is a Professional Counselor based in Gloucester, VA and is specialized in Professional. Staci M Young practices in Suffolk, VA and has the professional credentials of LPC. The NPI Number for Staci M Young is 1144479379 and holds a License No. 0701004431 (Virginia).

The current practice location address for Staci M Young is 7025 Harbour View Blvd, Suffolk, VA and can be reached out via phone at 757-434-6759. You can also correspond with Staci M Young through the mailing address at 9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA - 23061-4162 (mailing address contact number: 804-693-5068).

Location: 7025 Harbour View Blvd, Suffolk, VA, 23061-4162
person
Provider Profile Details
NPI Number
1144479379
Provider Name
Staci M Young
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7025 Harbour View Blvd, Suffolk, VA, 23061-4162
Phone Number
757-434-6759
Fax Number
Provider Enumeration Date
09/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0497717615 01 VA VA PREMIER MEDICAID HMO
294721 01 VA VALUE OPTIONS
1497717615 05 VA
institution
Provider Business Practice Location Address Details
Address
7025 Harbour View Blvd
City
State
Zip
23435-2761
Phone Number
757-434-6759
Fax Number
person
Provider Business Mailing Address Details
Address
7025 Harbour View Blvd
City
State
Zip
23435-2761
Phone Number
757-434-6759
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701004431 (Virginia)
Definition
Definition to come...
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