Individual
NICOLE L YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6061 COLONIAL PKWY UNIT 7103, GULF SHORES, AL 36542-5509
(617) 212-7645
Mailing address
6061 COLONIAL PKWY UNIT 7103, GULF SHORES, AL 36542-5509
(270) 216-1662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3456
KY
1041C0700X
Clinical Social Worker
Primary
5323-C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100470970
—
KY
Enumeration date
06/05/2008
Last updated
07/21/2026
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