person
Shane G. Young, MA,NCC,LPC
Professional Counselor in Peoria, Illinois
NPI 1194337147

Shane G. Young is a Professional Counselor based in Glasford, IL and is specialized in Professional. Shane G. Young practices in Peoria, IL and has the professional credentials of MA,NCC,LPC. The NPI Number for Shane G. Young is 1194337147 and holds a License No. 178015348 (Illinois).

The current practice location address for Shane G. Young is 3020 W Willow Knolls Dr, Peoria, IL and can be reached out via phone at 309-681-5850.

Location: 3020 W Willow Knolls Dr, Peoria, IL, 61533-0335
person
Provider Profile Details
NPI Number
1194337147
Provider Name
Shane G. Young
Credential
MA,NCC,LPC
Provider Entity Type
Individual
Gender
Male
Address
3020 W Willow Knolls Dr, Peoria, IL, 61533-0335
Phone Number
309-681-5850
Fax Number
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3020 W Willow Knolls Dr
City
State
Zip
61614-8127
Phone Number
309-681-5850
Fax Number
person
Provider Business Mailing Address Details
Address
3020 W Willow Knolls Dr
City
State
Zip
61614-8127
Phone Number
309-681-5850
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178015348 (Illinois)
Definition
Definition to come...
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