Individual
NICHOLAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
24047 W LOCKPORT ST STE 211, PLAINFIELD, IL 60544-1682
(815) 556-2753
Mailing address
3812 PANDOLA AVE, JOLIET, IL 60431-2734
(815) 325-8026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
12/15/2021
Last updated
03/09/2022
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