Young, Jillian Leigh

Young, Jillian Leigh is an individual health care provider with primary practice located at 6010 Black Horse Pike , Egg Harbor Township NJ 08234-9752. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Young, Jillian Leigh can be contacted via phone (609) 272-0909.

Contact Information

Primary practice address
6010 Black Horse Pike Egg Harbor Township NJ 08234-9752
Phone: (609) 272-0909
Fax: (609) 272-0157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00441700 New Jersey

Profile Details

NPI number 1962733709
LBN Legal business name Young, Jillian Leigh
Credentials M.A., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2010
Last updated Sep 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962733709 NPPES
New Jersey MEDICAID 101YM0800X

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