Individual provider · Type 1 NPI

Kim Kory Young, M.HTECHICIAN/L.L.MSW

Other Technician · Pontiac, MI

NPI number 1083160790 Active

Practice location

116 N Johnson St
Pontiac, MI 48341-1330

Fax (248) 622-4081

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1-04781 (MI)
Peer Specialist 175T00000XNone listed
Peer Specialist 175T00000XNone listed
Other Technician Primary 247200000XL148347 (MI)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1083160790

Kim Kory Young, M.HTECHICIAN/L.L.MSW's National Provider Identifier is 1083160790, issued on Sep 1, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Pontiac, MI. The record was last updated on Apr 10, 2020.