Individual
NICOLE L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1440 CAMPBELL LN STE 600, BOWLING GREEN, KY 42104-3390
(270) 715-1178
(270) 715-1189
Mailing address
1440 CAMPBELL LN STE 600, BOWLING GREEN, KY 42104-3390
(270) 715-1178
(270) 715-1189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3456
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100470970
—
KY
Enumeration date
06/05/2008
Last updated
09/13/2021
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