Individual
JASMINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
128 E OLIN AVE STE 100, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333
Mailing address
128 E OLIN AVE STE 100, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5849
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104100000X
TAXONOMY CODE
WI
Enumeration date
12/04/2015
Last updated
12/04/2015
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