Individual
MRS. NICHOLE ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
2030 RAHN WAY, EAGAN, MN 55122-2300
(612) 400-6174
Mailing address
9391 JARROD AVE S, COTTAGE GROVE, MN 55016-5003
(810) 955-5477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2608
MN
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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