Individual
NICHOLAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
549 MATHIS PARK DR, TAHLEQUAH, OK 74464-6820
(918) 456-6166
Mailing address
917 NSU DR, TAHLEQUAH, OK 74464-7050
(918) 931-2600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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