Individual
KATHLEEN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5087
Mailing address
UNIT 33100, APO, AE 09180-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PCSW-621
WY
1041C0700X
Clinical Social Worker
Primary
LCSW - 954
WY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW954
LICENSE
WY
Enumeration date
05/29/2015
Last updated
09/02/2025
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