Young, Michelle Marie

Young, Michelle Marie is an individual health care provider with primary practice located at 2501 Hanley Road Suite F, Eagle Valley Bank Building, Hudson WI 54016. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Young, Michelle Marie can be contacted via phone (715) 381-1980.

Contact Information

Primary practice address
2501 Hanley Road Suite F, Eagle Valley Bank Building Hudson WI 54016
Phone: (715) 381-1980
Fax: (715) 381-1906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 810-226 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4848-125 Wisconsin

Profile Details

NPI number 1740593201
LBN Legal business name Young, Michelle Marie
Credentials M.S., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2010
Last updated Jul 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740593201 NPPES
Wisconsin Other 6272920 AMERICAN COUNSELING ASSOCIATION PROFESSIONAL MEMBER
Wisconsin Other 4848125 AMERICAN COUNSELING ASSOCIATION PROFESSIONAL MEMBER
Wisconsin MEDICAID 1740593201 AMERICAN COUNSELING ASSOCIATION PROFESSIONAL MEMBER
Wisconsin Other 12407924 AMERICAN COUNSELING ASSOCIATION PROFESSIONAL MEMBER

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