| NPI | 1104774371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLYNNIS YOUNG Licensed Professional Counselor 618-698-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-21 |
| Last Update Date | 2026-03-21 |