Provider Demographics
NPI:1578701264
Name:YOUNG, ANNA VEE (PLMHP)
Entity Type:Individual
Prefix:MRS
First Name:ANNA VEE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2338
Mailing Address - Country:US
Mailing Address - Phone:308-432-6779
Mailing Address - Fax:308-432-6874
Practice Address - Street 1:301 W 2ND ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2338
Practice Address - Country:US
Practice Address - Phone:308-432-6779
Practice Address - Fax:308-432-6874
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health