Corey Marsett Young, SC61292982
Counselor in Lakewood, WA. Individual provider (NPI-1).
NPI number1689302176
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1689302176
- Entity type
- Individual (NPI-1)
- Name
- Corey Marsett Young
- Credential
- SC61292982
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2022
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | SC61292982 | WA | Yes |
Practice location
5900 100th St SwLakewood, WA 98499-2749
Phone 253-651-0649
Mailing address
Po Box 64082Tacoma, WA 98464-0082
Phone 253-651-0649
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