Individual
MS. KIM KORY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.HTECHICIAN/L.L.MSW
Contact information
Practice address
116 N JOHNSON ST, PONTIAC, MI 48341-1330
(248) 613-4098
(248) 622-4081
Mailing address
116 N JOHNSON ST, PONTIAC, MI 48341
(248) 613-4098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-04781
MI
175T00000X
Peer Specialist
—
MI
175T00000X
Peer Specialist
—
—
247200000X
Other Technician
Primary
L148347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L148347
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES
MI
Enumeration date
09/01/2016
Last updated
04/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us