Provider Demographics
NPI:1720820418
Name:YOUNG, KAYLEA (MSW)
Entity type:Individual
Prefix:
First Name:KAYLEA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 W BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2346
Mailing Address - Country:US
Mailing Address - Phone:630-999-8404
Mailing Address - Fax:
Practice Address - Street 1:69 W BAILEY RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-2346
Practice Address - Country:US
Practice Address - Phone:630-567-3606
Practice Address - Fax:630-982-1082
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist