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 |
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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 |
Patricia Moore, 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: Not Enrolled in Medicare Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 | |
Scarlett Heather Oconnell, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-365-8228 Fax: 651-454-3492 | |
Mr. Timothy J. Ruden, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4640 Slater Rd Ste 120, Eagan, MN 55122 Phone: 651-882-5161 | |
Haley Keifer, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Jacob Thomas Minnig, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Highview Ave, Eagan, MN 55121 Phone: 651-233-8379 |