Individual
HEATHER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 WASHINGTON AVE, POCATELLO, ID 83201-4520
(208) 234-2646
Mailing address
5312 LUCKY AVE, CHUBBUCK, ID 83202-2135
(208) 479-3914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
42292
ID
1041C0700X
Clinical Social Worker
Primary
8911035
ID
Other
Enumeration date
06/27/2022
Last updated
04/22/2026
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