FREDERICK YOUNG BA, SAC-IT
NPI 1720345093
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI
Active since April 11, 2012
About Frederick Young Ba, Sac-it NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK YOUNG BA, SAC-IT (NPI 1720345093) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (16312-130) and active in the NPI registry since April 2012.
NPPES Registry Identity
NPI1720345093
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameFREDERICK YOUNGCredential: BA, SAC-IT
Location Address3707 N RICHARDS STMilwaukee, WI 53212-1673
Mailing Address3707 N Richards StMilwaukee, WI 53212-1673
Phone(414) 967-7006
Sole ProprietorNo
Enumeration DateApril 11, 2012
✔ NPI 1720345093 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 16312-130
3707 N RICHARDS ST, Milwaukee, WI 53212
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
3707 N RICHARDS ST
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
Counselor (Addiction (Substance Use Disorder))
3707 N RICHARDS ST
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
Counselor (Addiction (Substance Use Disorder))
3707 N RICHARDS ST
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720345093, enumerated as an "individual" on April 11, 2012.
The provider is located at 3707 N RICHARDS ST MILWAUKEE, WI 53212 and the phone number is (414) 967-7006.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
