Individual
ELLA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N 45TH ST, OMAHA, NE 68104-3711
(402) 577-0321
Mailing address
3912 N 41ST ST, OMAHA, NE 68111-2638
(402) 570-8524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025851800
—
NE
Enumeration date
05/03/2018
Last updated
07/02/2020
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