KAREN YOUNG CADC III CCS-G NPI 1003830910

NPI Information

NPI: 1003830910
Provider Name: KAREN YOUNG, CADC III, CCS-G
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
141A COTTONWOOD AVE
HARTLAND, WI
ZIP 53029
Phone: (262) 367-5104
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Karen Young, CADC III, CCS-G is an addiction (substance use disorder) counselor in Hartland, WI. Karen Young, CADC III, CCS-G NPI is 1003830910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

141A COTTONWOOD AVE
HARTLAND, WI
ZIP 53029-014
Phone: (262) 367-5104
Fax: (262) 369-9569

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12058	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1950	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39367300	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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