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

NPI #1083160790 in Pontiac, Michigan

Provider Information

NPI Number: 1083160790
Entity Type: Individual
Name: MS. Kim Kory Young, M.HTECHICIAN/L.L.MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: M.HTECHICIAN/L.L.MSW
Enumeration Date: Sep 1, 2016
Last Updated: Apr 10, 2020

Practice Location

Address: 116 N JOHNSON ST
City: Pontiac
State: Michigan
ZIP Code: 48341-1330
Phone: (248) 613-4098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X
Technician, Other	247200000X	Primary

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