Individual
BECKY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
5455 SHERIDAN RD LOWR LEVEL10, KENOSHA, WI 53140-3734
(262) 909-0356
Mailing address
5455 SHERIDAN RD LOWR LEVEL10, KENOSHA, WI 53140-3734
(847) 989-5460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8185-226
WI
Other
Enumeration date
10/30/2024
Last updated
11/22/2024
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