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NPI Code Detail

MEDICARE: SANDRA L YOUNG LMHP, LADC, LPC

MEDICARE: SANDRA L YOUNG LMHP, LADC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1062NE
2101YM0800XMental Health Counselor4443NE
3101YP2500XProfessional Counselor2162NE

General Provider Information

NPI Number : 1033471479
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA L YOUNG LMHP, LADC, LPC
Provider Business Mailing Address
First Line : 110 N BAILEY AVE
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-5436
Country : US
Telephone Number : 308-534-6029
Fax Number :
Provider Business Practice Location Address
First Line : 110 N BAILEY AVE
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-5436
Country : US
Telephone Number : 308-534-6029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2012
Last Update Date : 03/23/2017

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1780616193 — SONIA M KOUNOVSKY BS LADC
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1790868883 — DR. JANET ELIZABETH BERNARD M.D.
Practice Location Address:
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NORTH PLATTE, NE
69101-5436
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1437441581 — MRS. CRISTAL DAWN KERSEY
Practice Location Address:
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1154601250 — MS. JENNIFER L SPENCER MS, LIMHP, LADC
Practice Location Address:
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