Individual
KAREN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC III, CCS-G
Contact information
Practice address
141A COTTONWOOD AVE, HARTLAND, WI 53029-2014
(262) 367-5104
(262) 369-9569
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12058
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1950
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39367300
—
WI
Enumeration date
07/26/2006
Last updated
07/08/2007
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