Individual
NICOLE DE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 BUCKINGHAM DR, INDIANAPOLIS, IN 46208-3628
(847) 624-1186
Mailing address
318 BUCKINGHAM DR, INDIANAPOLIS, IN 46208-3628
(847) 624-1186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002479A
IN
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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