TUJOHNNA CHANEL BOLTON-YOUNG LPC
NPI 1194694448
Counselor - Professional in Belleville, IL
Active since November 04, 2025
About Tujohnna Chanel Bolton-young Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TUJOHNNA CHANEL BOLTON-YOUNG LPC (NPI 1194694448) is an individual professional provider in Belleville, Illinois, licensed in Missouri (2003015974) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1194694448
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTUJOHNNA CHANEL BOLTON-YOUNGCredential: LPC
Location Address2012 TAMPICO DRBelleville, IL 62221-3510
Mailing Address2012 Tampico DrBelleville, IL 62221-3510 · (618) 910-3956
Phone(618) 910-3956
Sole ProprietorYes
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1194694448 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2003015974
2012 TAMPICO DR, Belleville, IL 62221
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194694448, enumerated as an "individual" on November 04, 2025.
The provider is located at 2012 TAMPICO DR BELLEVILLE, IL 62221 and the phone number is (618) 910-3956.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
