person
Clorissa Young, MA,LCPC
Mental Health Counselor in Montgomery, Illinois
NPI 1689117368

Clorissa Young is a Mental Health Counselor based in Montgomery, IL and is specialized in Mental Health. Clorissa Young practices in Montgomery, IL and has the professional credentials of MA,LCPC. The NPI Number for Clorissa Young is 1689117368 and holds a License No. 180.012944 (Illinois).

The current practice location address for Clorissa Young is 92 Circle Dr W, Montgomery, IL and can be reached out via phone at 815-531-4561.

Location: 92 Circle Dr W, Montgomery, IL, 60538-2502
person
Provider Profile Details
NPI Number
1689117368
Provider Name
Clorissa Young
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
92 Circle Dr W, Montgomery, IL, 60538-2502
Phone Number
815-531-4561
Fax Number
Provider Enumeration Date
11/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
92 Circle Dr W
City
State
Zip
60538-2502
Phone Number
815-531-4561
Fax Number
person
Provider Business Mailing Address Details
Address
92 Circle Dr W
City
State
Zip
60538-2502
Phone Number
815-531-4561
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.010903 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.012944 (Illinois)
Definition
Definition to come...
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