Kelly Jane Young, CRADC is a
Clinic/center - Rehabilitation, Substance Use Disorder based in Joplin, Missouri. Kelly Jane Young is licensed to practice in Missouri (license number 2821) and her current practice location is
501 S Pennsylvania Ave, Joplin, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 553-0043.
NPI number for Kelly Jane Young is 1104588177 and her current mailing address is 501 S Pennsylvania Ave, Joplin, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104588177.
Healthcare Provider's Profile
| Full Name | Kelly Jane Young |
|---|
| Gender | Female |
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| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
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| Location | 501 S Pennsylvania Ave, Joplin, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104588177
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 10/07/2021
Medical Identifiers
Medical identifiers for Kelly Jane Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104588177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4486 (Missouri) | Secondary |
| 175T00000X | Peer Specialist | 10017 (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 2821 (Missouri) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2821 (Missouri) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 2821 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Jane Young is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Jane Young, CRADC
501 S Pennsylvania Ave,
Joplin, MO 64801-2286
Ph: (417) 553-0043 | Kelly Jane Young, CRADC
501 S Pennsylvania Ave,
Joplin, MO 64801-2286
Ph: (417) 553-0043 |
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