Young, Andrea Marie

Young, Andrea Marie is an sole proprietor health care provider with primary practice located at 701 Olson Dr Suite 105, Papillion NE 68046-4797. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Young, Andrea Marie can be contacted via phone (402) 991-1441.

Contact Information

Primary practice address
701 Olson Dr Suite 105 Papillion NE 68046-4797
Fax: (402) 991-1889
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1278 Nebraska

Profile Details

NPI number 1992805584
LBN Legal business name Young, Andrea Marie
Credentials LMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992805584 NPPES
Nebraska MEDICAID 100251361-00

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