Individual
JALISA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-2064
Mailing address
748 WILLOW ST, WATERLOO, IA 50703-3366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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