| Mrs Nichole Elizabeth Young, MA, LPCC | |
|
2030 Rahn Way, Eagan, MN 55122-2300 | |
| (612) 400-6174 | |
| Not Available |
| Full Name | Mrs Nichole Elizabeth Young |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2030 Rahn Way, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861099194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2608 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nichole Elizabeth Young, MA, LPCC 9391 Jarrod Ave S, Cottage Grove, MN 55016-5003 Ph: (810) 955-5477 | Mrs Nichole Elizabeth Young, MA, LPCC 2030 Rahn Way, Eagan, MN 55122-2300 Ph: (612) 400-6174 |
Nicholas Plante, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2142 River Valley Ln, Eagan, MN 55122 Phone: 612-501-7897 | |
Matthew Steven Carlson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-644-8515 | |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139 | |
Katherine Ann Mcguire, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 | |
Keo Sengsavang, Counselor Medicare: Medicare Enrolled Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 |