Individual
MARY CHRISTENA YOUNGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15600 REDMOND WAY, REDMOND, WA 98052-3862
(425) 890-3847
Mailing address
15600 REDMOND WAY, REDMOND, WA 98052-3862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001182
WA
Other
Enumeration date
08/04/2014
Last updated
11/23/2015
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