Individual provider · Type 1 NPI
Shani A. Young, LIFE COACH
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1124753959
Active · reactivated Jan 23, 2024
Practice location
5104 N 20th St
Milwaukee, WI 53209-5717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20467-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124753959
Shani A. Young, LIFE COACH's National Provider Identifier is 1124753959, issued on Jul 17, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 30, 2024.