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CAMERON KEITH YOUNG LMFT

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1477071736

Individual Registrant:
 CAMERON KEITH YOUNG LMFT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1120 E MAIN ST STE 201  ST CHARLES, IL 60174 US
Tel: (63-0) -377-6613  Fax: 630-377-6225

Contact information for business:
1120 E MAIN ST STE 201  ST CHARLES, IL 60174-2287 US
Tel: 630-377-6613  Fax: 630-377-6225

Registration Information:
NPI: 1477071736
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
IL208000347
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
IL166.001232

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS IL - Page 1



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