Gina Young, LICSW
NPI #1245679653 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1245679653
- Entity Type
- Individual
- Name
- Gina Young, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Credential
- LICSW
- Enumeration Date
- Jun 19, 2013
- Last Updated
- Dec 17, 2014
Practice Location
- Address
- 2430 NICOLLET AVE SOUTH
- Address 2
- WASHBURN CENTER FOR CHILDREN
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55404
- Phone
- (612) 871-1454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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