Individual
MRS. MICHELLE MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
1107 HAZELTINE BLVD STE 470, CHASKA, MN 55318-1066
(763) 249-5031
(888) 821-5733
Mailing address
2501 HANLEY ROAD, SUITE 101, HUDSON, WI 54016
(715) 381-1980
(715) 381-1906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2524
MN
101YP2500X
Professional Counselor
4848-125
WI
101YP2500X
Professional Counselor
810-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12407924
CAQH
—
05
—
1740593201
—
WI
01
—
2524
LICENSED PROFESSIONAL CLINICAL COUNSELOR (LPCC) - MN BBHT
MN
01
—
4848125
LICENSED PROFESSIONAL COUNSELOR - WISCONSIN D.S.P.S.
WI
01
—
6272920
AMERICAN COUNSELING ASSOCIATION PROFESSIONAL MEMBER
WI
Enumeration date
07/26/2010
Last updated
01/21/2025
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