Individual
MS. ANN MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 E 22ND ST, ATLANTIC, IA 50022-2800
(712) 254-9018
Mailing address
101 E 22ND ST, ATLANTIC, IA 50022-2800
(712) 254-9018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
03781
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03781
LCSW
IA
01
—
1369004
MEDICARE IB
IA
05
—
813671-000
—
IA
Enumeration date
03/28/2008
Last updated
01/18/2021
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