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Provider Information for 1992006431


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Mrs. TANYA Y YOUNG LPCC


Other Names:  
Former Name: 
TANYA Y GREAVES CSC-AD

Sex: Female

NPI: 1992006431
Last Updated: 2020-01-13
Certification Date: 2020-01-13

Details

NameValue
NPI1992006431
Enumeration Date2010-11-16
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6066 SHINGLE CREEK PKWY # 172
BROOKLYN CENTER, MN 55430-2316
United States

Phone: 763-220-4971 | Fax:
 
Primary Practice Address 6066 SHINGLE CREEK PKWY # 172
BROOKLYN CENTER, MN 55430-2316
United States

Phone: 763-220-4971 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalMNCC0649
Yes 101YP2500X - Counselor - ProfessionalMNcc00649