Individual
JENNIFER YOUNGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
Mailing address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1368
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WY
Other
Enumeration date
02/17/2023
Last updated
03/29/2023
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