Tamora Ellen Young, LPC MAC

NPI #1134294101 in Loganville, Georgia

Provider Information

NPI Number
1134294101
Entity Type
Individual
Name
Tamora Ellen Young, LPC MAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC MAC
Enumeration Date
Nov 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4396 LAWRENCEVILLE RD
Address 2
SUITE 104
State
Georgia
ZIP Code
30052
Phone
(678) 313-8784

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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