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NPI Code Detail

MEDICARE: BRIGETTE YOUNG LPC

MEDICARE:   BRIGETTE  YOUNG  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
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor12289-125WI
3390200000XStudent in an Organized Health Care Education/Training ProgramCO60757271WA

General Provider Information

NPI Number : 1376009340
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGETTE YOUNG LPC
Provider Business Mailing Address
First Line : 307 S PATERSON ST STE 120
Second Line :
City : MADISON
State : WI
Zip : 53703-3517
Country : US
Telephone Number : 608-501-1629
Fax Number :
Provider Business Practice Location Address
First Line : 307 S PATERSON ST STE 120
Second Line :
City : MADISON
State : WI
Zip : 53703-3517
Country : US
Telephone Number : 608-501-1629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2019
Last Update Date : 01/07/2026

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Directions to “ BRIGETTE YOUNG LPC” Practice Location

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