Provider Demographics
NPI:1023057718
Name:YOUNG, BARBARA K (MS)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 E ALCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-2903
Mailing Address - Country:US
Mailing Address - Phone:218-736-6987
Mailing Address - Fax:218-736-6980
Practice Address - Street 1:126 E ALCOTT AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2903
Practice Address - Country:US
Practice Address - Phone:218-736-6987
Practice Address - Fax:218-736-6980
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLICSW 7761101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1013841OtherPREFERREDONE
MN126405OtherUCARE MINNESOTA
MN62-71314OtherUNITED BEHAVIORAL HEALTH
MN281S7YOOtherBLUE SHIELD OF MINNESOTA
MNHP25382OtherHEALTHPARTNERS