Young, Sandra Irene
Young, Sandra Irene is an sole proprietor health care provider with primary practice located at 271 Clarkson Executive Park , Ellisville MO 63011-2173. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Young, Sandra Irene can be contacted via phone (636) 206-6169.Contact Information
Primary practice address
271 Clarkson Executive Park
Ellisville MO 63011-2173
Phone: (636) 206-6169
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2011040293 | Missouri |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1811241763 |
---|---|
LBN Legal business name | Young, Sandra Irene |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 30th, 2012 |
Last updated | Jul 24th, 2020 - about 4 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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