Individual
MS. NICHELLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
6220 N NEBRASKA AVE STE B, TAMPA, FL 33604-6257
(813) 239-8380
Mailing address
5707 N 22ND ST, MENTAL HEALTHCARE INC, TAMPA, FL 33610-4350
(813) 239-8069
(813) 239-8514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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