Ms Kim Kory Young, MHTECHICIAN/LLMSW in Pontiac, MI - Technician, Other

Ms Kim Kory Young, MHTECHICIAN/LLMSW is a Technician, Other based in Pontiac, Michigan. Ms Kim Kory Young is licensed to practice in Michigan (license number L148347) and her current practice location is 116 N Johnson St, Pontiac, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 613-4098.

NPI number for Ms Kim Kory Young is 1083160790 and her current mailing address is 116 N Johnson St, Pontiac, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083160790.

Contact Information

	Ms Kim Kory Young, MHTECHICIAN/LLMSW
	116 N Johnson St, Pontiac, MI 48341-1330
	(248) 613-4098
	(248) 622-4081

Healthcare Provider's Profile

Full Name	Ms Kim Kory Young
Gender	Female
Speciality	Technician, Other
Location	116 N Johnson St, Pontiac, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1083160790
Provider Enumeration Date: 09/01/2016
Last Update Date: 04/10/2020

Medical Identifiers

Medical identifiers for Ms Kim Kory Young such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083160790	NPI	-	NPPES
L148347	Other	MI	DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1-04781 (Michigan)	Secondary
175T00000X	Peer Specialist	(Michigan)	Secondary
175T00000X	Peer Specialist	(* (Not Available))	Secondary
247200000X	Technician, Other	L148347 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kim Kory Young is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kim Kory Young, MHTECHICIAN/LLMSW 116 N Johnson St, Pontiac, MI 48341 Ph: (248) 613-4098	Ms Kim Kory Young, MHTECHICIAN/LLMSW 116 N Johnson St, Pontiac, MI 48341-1330 Ph: (248) 613-4098

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Ms Kim Kory Young, MHTECHICIAN/LLMSW - Counselor in Pontiac, MI